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?

I will change my perineal pad every time I use the bathroom.

I will wipe my perineum from back to front after urinating or defecating

I will apply ice packs on my perineum for the first week after birth

I will avoid sitting or standing for long periods of time

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. The woman should change her perineal pad every time she uses the bathroom to prevent infection and promote healing of the perineal area.

Some possible explanations for the other choices are:

• Choice B is wrong because the woman should wipe her perineum from front to back after urinating or defecating to avoid introducing bacteria from the anus to the vagina or urethra.

• Choice C is wrong because the woman should apply ice packs on her perineum for the first 24 hours after birth, not for the first week.

Ice packs help reduce swelling and pain in the per

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Correct Answer is A

Explanation

The correct answer is choice A. Increased clotting factors.Increased clotting factors are a physiological adaptation to pregnancy that reduces the risk of hemorrhage during delivery, but also increases the risk of venous thromboembolism (VTE) in pregnancy and postpartum.The risk of VTE is highest in the first week after delivery and gradually declines over the next 12 weeks.

Choice B is wrong because decreased blood volume is not a risk factor for VTE.In fact, blood volume increases by about 50% during pregnancy to meet the increased metabolic demands of the mother and fetus.

Choice C is wrong because increased cardiac output is not a risk factor for VTE.

Cardiac output also

A. Nausea and vomiting. B. Increased appetite. C. Increased urine output D. Decreased heart rate.

Correct Answer is A

Explanation

The correct answer is choice A) Nausea and vomiting.This is because nausea and vomiting are common adverse effects of many antibiotics, especially clindamycin and gentamicin, which are often used to treat postpartum endometritis.Nausea and vomiting can also indicate a more serious complication of antibiotic therapy, such as Clostridioides difficile infection.

Choice B) Increased appetite is wrong because antibiotics do not typically affect appetite, and postpartum endometritis may cause loss of appetite due to fever, pain, and inflammation.

Choice C) Increased urine output is wrong because antibiotics do not usually increase urine output, and postpartum endometritis may cause dehydration due to fever and vomiting.

Choice D) Decreased heart rate is wrong because antibiotics do not generally lower heart rate, and postpartum endometritis may cause tachycardia due to fever, infection, and sepsis.

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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?

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

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?

Correct Answer is A

Explanation

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 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?

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?

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 caring for a client who received meperidine (Demerol) IV for pain relief during labor 2 hours ago and is now ready to deliver vaginally. Which of the following medications should the nurse have available to reverse respiratory depression in the newborn?

A nurse is caring for a postpartum client who has an episiotomy wound infection. Which of the following should the nurse do? (Select all that apply.) A) Administer antibiotics as prescribed.

A nurse is caring for a client who has postpartum endometritis and is receiving IV antibiotics. Which of the following findings indicates that the treatment is effective? A) Decreased vaginal bleeding.

(Select all that apply) A nurse is monitoring a postpartum woman who is taking codeine for severe pain after birth. The nurse knows that codeine can pass through breastmilk and cause adverse effects in the baby. Which signs and symptoms should the nurse watch for in the baby?

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?