A nurse is collecting data from a client who is 2 days postpartum. Which of the following findings should alert the nurse to the possibility of a puerperal infection?
Upper abdominal pain
Bradycardia
Hypothermia
Foul-smelling lochia
The Correct Answer is D
A. Upper abdominal pain could indicate a variety of issues, including gastrointestinal upset or muscle soreness from labor, but it is not specific to a puerperal infection.
B. Bradycardia (slow heart rate) is not typically associated with a puerperal infection.
C. Hypothermia (low body temperature) is not a typical sign of a puerperal infection.
D. Foul-smelling lochia can be indicative of an infection, as an unpleasant odor may be associated with bacterial growth in the uterine cavity. This is a concerning sign and should be further evaluated.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A: The recommended needle length for administering vaccines to newborns is usually ⅝ inch, but the needle choice can vary depending on the infant's size and age.
B: The preferred site for administering vaccines to infants is the vastus lateralis muscle in the anterolateral thigh, not the dorsal gluteal muscle.
C: The gauge of the needle can vary, and a 20-gauge needle may be appropriate depending on the specific vaccine and infant's size.
D: The standard dose for the hepatitis B vaccine for newborns is 0.5 mL.
Correct Answer is A
Explanation
A. Among the options listed, the intrauterine device (IUD) has the lowest failure rate. IUDs are highly effective at preventing pregnancy with a failure rate of less than 1%.
B. Oral contraceptives have a higher failure rate compared to IUDs.
C. The contraceptive sponge has a higher failure rate compared to IUDs.
D. The diaphragm has a higher failure rate compared to IUDs.
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