A nurse is educating a postpartum client about resuming sexual intercourse after delivery.

What information should the nurse provide to the client?

Sexual intercourse can be resumed after 4 weeks postpartum

Sexual intercourse may be uncomfortable due to vaginal dryness

Sexual intercourse should be avoided until lochia alba stops

Sexual intercourse may cause uterine bleeding or infection

Answer and Explanation

The Correct Answer is B

The correct answer is choice B. Sexual intercourse may be uncomfortable due to vaginal dryness. According to Mayo Clinic, hormonal changes after pregnancy might leave the vagina dry and tender, especially if the client is breast-feeding.

This can cause pain and discomfort during sex.

The client can use lubricant or try alternative forms of intimacy to ease the discomfort.

Choice A is wrong because sexual intercourse can be resumed after 4 weeks postpartum only if the client feels comfortable and has no complications. The general recommendation is to wait until 6 weeks postpartum or until the provider clears the client for sex.

Choice C is wrong because sexual intercourse should not be avoided until lochia alba stops.

Lochia alba is the last stage of postpartum bleeding that lasts from 10 to 14 days after delivery. The client can resume sex before lochia alba stops if they feel ready and use contraception to prevent pregnancy.

Choice D is wrong because sexual intercourse may not cause uterine bleeding or infection if the client follows proper hygiene and uses protection. The risk of complications is highest during the first two weeks after delivery, but it decreases after that.

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Correct Answer is C

Explanation

The correct answer is choice C.“Take a warm sitz bath.” A sitz bath is a shallow bath that covers the hips and buttocks and can help reduce swelling and discomfort in the perineal area after delivery.A warm sitz bath can also ease the pain of urination and promote blood flow to the area for faster healing.

Choice A is wrong because applying heat to the perineum can increase inflammation and pain.Choice B is wrong because using an ice pack on the perineum can cause an uncomfortable, sudden sensation of coldness on the skin.Choice D is wrong because using a heating pad on the abdomen has no effect on the perineal area and can also increase inflammation.

A. Document the finding in the client’s chart B. Encourage the woman to empty her bladder regularly C. Palpate the fundus for firmness D. Notify the provider

Correct Answer is C

Explanation

The correct answer is choice C. Palpate the fundus for firmness.This is because uterine atony is the most common cause of postpartum hemorrhage and palpating the fundus can help assess the tone of the uterus and stimulate contractions.If the fundus is boggy or soft, the nurse should massage it gently until it becomes firm.

Choice A is wrong because documenting the finding in the client’s chart is not an immediate action to stop the bleeding and may delay the treatment.

Choice B is wrong because encouraging the woman to empty her bladder regularly is a preventive measure for postpartum hemorrhage, not a treatment.A full bladder can displace the uterus and prevent it from contracting properly.

Choice D is wrong because notifying the provider is not enough to manage postpartum hemorrhage.The nurse should initiate interventions such as oxytocin administration, uterine massage, bimanual compression, fluid replacement, and blood transfusion as needed.

Notifying the provider should be done after or along with these interventions.

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A nurse is educating a postpartum client about resuming sexual intercourse after delivery. What information should the nurse provide to the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 4 days postpartum and has a vaginal birth with an episiotomy. The client reports that her perineal area is sore and asks the nurse what she can do to relieve the discomfort. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse is caring for a postpartum client who reports heavy bleeding and large clots in her lochia. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is teaching a postpartum client about lochia and when to report abnormal findings. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is assessing a client who is 2 days postpartum. Which of the following findings should the nurse expect?

A nurse is caring for a client who is 5 days postpartum and has a vaginal birth with an episiotomy. The client reports that she has pain in her perineal area and asks the nurse what she can do to relieve the discomfort.

(select all that apply) A nurse is teaching a breastfeeding client about engorgement prevention and management. What should the nurse include in the teaching?

A nurse is caring for a client who is 5 days postpartum and has a vaginal birth with an episiotomy. The client reports that she has pain in her perineal area and asks the nurse what she can do to relieve the discomfort. Which of the following responses should the nurse make?

A nurse is assessing the amount, color, odor, consistency, and presence of clots or tissue in the lochia of a postpartum client. Which of the following findings should the nurse report as abnormal?

A nurse is educating a postpartum client about resuming sexual intercourse after delivery. What information should the nurse provide to the client?

A nurse is caring for a postpartum client who has a boggy uterus. Which of the following actions should the nurse take?

A nurse is educating a postpartum client about resuming sexual intercourse after delivery.

What information should the nurse provide to the client?