A nurse is evaluating a postpartum woman’s knowledge about pain management after birth.

The nurse asks the woman what she would do if she has uterine cramping while breastfeeding her baby.

Which response by the woman indicates a need for further teaching?

I would take ibuprofen before feeding my baby.

I would massage my abdomen gently during feeding

I would use relaxation and breathing techniques.

I would stop feeding my baby until the pain goes away.

Answer and Explanation

The Correct Answer is D

The correct answer is choice D. I would stop feeding my baby until the pain goes away. This response indicates a need for further teaching because stopping breastfeeding can worsen the uterine cramping and also affect the milk supply and the baby’s nutrition. Uterine cramping or “afterpains” are normal after delivery and are caused by the uterus contracting and shrinking back to its normal size. Breastfeeding can trigger these contractions because it stimulates the release of oxytocin, a hormone that helps the uterus contract.

Choice A is wrong because ibuprofen is a safe and effective pain reliever for postpartum women and can be taken before feeding the baby. Choice B is wrong because massaging the abdomen gently during feeding can help ease the afterpains by stimulating blood flow and relaxing the muscles. Choice C is wrong because relaxation and breathing techniques can also help reduce the pain by lowering stress and tension levels. These are some of the self-help treatments that can be used along with medications to manage postpartum pain.

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Correct Answer is D

Explanation

The correct answer is choice D. Massage her fundus.

This is because a boggy and displaced fundus indicates uterine atony, which is the failure of the uterus to contract sufficiently after delivery.

This can lead to excessive bleeding and postpartum hemorrhage.Massaging the fundus can help stimulate uterine contractions and reduce blood loss.

Choice A is wrong because administering oxytocin is not the first action the nurse should take.Oxytocin is a medication that can also help the uterus contract, but it should be given after massaging the fundus and assessing the bleeding.

Choice B is wrong because assisting with ambulation is not appropriate for a client with a boggy and displaced fundus.Ambulation can increase bleeding and cause orthostatic hypotension due to blood loss.

Choice C is wrong because encouraging frequent voiding is not the first action the nurse should take.

A full bladder can displace the uterus and prevent effective contractions, so voiding can help the uterus return to its normal position.However, this should be done after massaging the fundus and assessing the bleeding.

A. Document findings as normal B. Massage fundus until it becomes firm C. Administer oxytocin D. Increase IV fluid rate

Correct Answer is A

Explanation

The correct answer is choice A) Document findings as normal.

The fundus is the upper part of the uterus that contracts after delivery to prevent bleeding.The fundus should be firm, midline, and at the level of the umbilicus or lower on the second postpartum day.Lochia rubra is the normal bloody discharge that occurs for the first few days after delivery and should not contain large clots.The normal range of lochia rubra is scant to moderate.

Choice B) Massage fundus until it becomes firm is wrong because the fundus is already firm and does not need further stimulation.

Choice C) Administer oxytocin (Pitocin) is wrong because oxytocin is a medication that helps the uterus contract and is not indicated for a firm fundus.

Choice D) Increase IV fluid rate is wrong because IV fluids are not related to the assessment of the fundus and lochia and may cause fluid overload.

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A nurse is evaluating a postpartum woman’s knowledge about pain management after birth. The nurse asks the woman what she would do if she has uterine cramping while breastfeeding her baby. Which response by the woman indicates a need for further teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a postpartum client who delivered vaginally 2 days ago and notes that her fundus is boggy and displaced to the right side of her abdomen. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

A nurse is assessing a client who delivered an infant vaginally 2 days ago and notes that the fundus is firm, midline, and at the level of the umbilicus, lochia rubra is moderate, and there are no clots present in the lochia flow. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is evaluating a postpartum woman’s knowledge about pain management after birth. The nurse asks the woman what she would do if she has uterine cramping while breastfeeding her baby. Which response by the woman indicates a need for further teaching?

(from search results) A nurse discovers a postpartum client with a boggy uterus, displaced above the right of the umbilicus. What nursing action is indicated?

A nurse is caring for a postpartum client who reports heavy vaginal bleeding and passing large clots since delivery 2 days ago. Which of the following actions should the nurse take first?

A nurse is caring for a client who has postpartum endometritis and is receiving IV antibiotics. Which of the following findings indicates that the client is experiencing an adverse effect of the medication?

A nurse is preparing a discharge plan for a postpartum woman who had a vaginal delivery with a second-degree perineal tear. The nurse includes instructions on how to care for the perineum at home. Which statement by the woman indicates that she understands the instructions?

(from search results) What factor places the postpartum client at risk for thromboembolism?

A nurse is providing discharge teaching to a client who had a vaginal delivery with a midline episiotomy. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

A nurse is caring for a client who delivered an infant vaginally 2 days ago and notes that there are no clots present in the lochia flow, but there is moderate bleeding with bright red blood and small clots present when massaging the fundus which is firm, midline, and at the level of the umbilicus.

A nurse is evaluating a postpartum woman’s knowledge about pain management after birth.

The nurse asks the woman what she would do if she has uterine cramping while breastfeeding her baby.

Which response by the woman indicates a need for further teaching?