How it Works
Try Naxlex NCLEX-RN (Free-Trial)

A nurse is examining the medical record of a client who gave birth vaginally two days ago and is experiencing constipation.
Which of the following conditions should the nurse recognize as a contraindication for the use of a suppository?

A.

Vaginal candidiasis

B.

Afterpains

C.

Third-degree perineal laceration

D.

Abdominal distention

Answer and Explanation

The Correct Answer is C

Choice A rationale
Vaginal candidiasis is not a contraindication for the use of a suppository. Candidiasis is a fungal infection that can cause itching and discomfort in the vaginal area. While it may require treatment, it does not prevent the use of a suppository for constipation.
Choice B rationale
 

Afterpains are not a contraindication for the use of a suppository. Afterpains are cramping pains that some women experience after childbirth as the uterus contracts back to its pre- pregnancy size. While they can be uncomfortable, they do not prevent the use of a suppository for constipation.
Choice C rationale
A third-degree perineal laceration is a contraindication for the use of a suppository. A third- degree laceration extends through the vaginal wall, perineal skin, and perineal muscles to the anal sphincter. Inserting a suppository could potentially cause further damage or introduce bacteria into the healing wound.
Choice D rationale
Abdominal distention is not a contraindication for the use of a suppository. While abdominal distention can be uncomfortable, it does not prevent the use of a suppository for constipation.
 


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is D

Explanation

Choice A rationale
A temperature of 37.4°C (99.3°F) is within the normal range and does not indicate endometritis.
Choice B rationale
Scant lochia is not typically associated with endometritis. In fact, women with endometritis may experience heavy lochia or foul-smelling lochia.
Choice C rationale
A WBC count of 9,000/mm is within the normal range and does not indicate endometritis.
Choice D rationale

Uterine tenderness is a common symptom of endometritis. Other symptoms can include fever, malaise, and foul-smelling lochia.

Correct Answer is D

Explanation

Choice A rationale

While it’s true that symptoms of GBS in pregnant women are often not apparent, the absence of symptoms does not eliminate the risk of transmission to the baby during delivery.
Therefore, this is not the primary reason for the timing of the test.
Choice B rationale
Even though a woman’s previous deliveries were negative for GBS, it doesn’t mean she won’t have GBS in subsequent pregnancies. GBS can come and go in a person’s body without symptoms, so even if previous tests were negative, a woman could still have GBS in her current pregnancy.
Choice C rationale
GBS is not typically part of early prenatal testing. It is usually tested for late in the third trimester because a woman can test negative earlier in pregnancy and be positive by the time of delivery.
Choice D rationale
This is the correct answer. The primary reason for testing for GBS late in pregnancy is to identify women who are GBS positive at the time of delivery, as these women have a risk of transmitting GBS to their newborns during delivery.

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Register