A nurse is collecting data from a client who is 20 hr postpartum following a vaginal delivery. Which of the following findings should the nurse expect?
Positive Homans' sign
Full, firm breasts
Firm fundus at midline
Lochia serosa
The Correct Answer is C
A. Homans' sign is a test for deep vein thrombosis and is not a normal postpartum finding.
B. Full, firm breasts typically occur a few days after delivery when milk production begins, not at 20 hours postpartum.
C. A firm fundus at the midline is an expected finding in the immediate postpartum period, indicating that the uterus is contracting and involuting properly.
D. Lochia serosa (pinkish-brown discharge) is a normal finding around 3 to 10 days postpartum, but it is not typically present at 20 hours postpartum.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A: Minimizing strong odors can help reduce nausea, especially when preparing or cooking food.
B: Eating foods at warm temperatures may be helpful, but it is not as directly related to reducing nausea as minimizing strong odors.
C: Increasing fluids can be helpful, but it is not specifically related to reducing nausea early in the day.
D: Brushing teeth after meals is important for oral hygiene but may not have a significant impact on reducing nausea.
Correct Answer is A
Explanation
A. The nurse's role is to provide education and information about available methods of contraception without imposing personal beliefs or preferences.
B. It is not the nurse's role to select the method of contraception for the client. The decision should be made by the client based on their individual preferences and health considerations.
C. While assessing the client's socioeconomic status may be relevant for some aspects of care, it is not directly related to providing information about contraception.
D. Collecting a dietary history is not relevant to a client's inquiry about contraception.
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