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. Decreased vaginal bleeding. B. Increased abdominal pain. C. Increased temperature. D. Decreased white blood cell count

Correct Answer is D

Explanation

The correct answer is D) Decreased white blood cell count.Postpartum endometritis is an infection of the lining of the uterus that causes fever, abdominal pain, uterine tenderness and sometimes discharge.It is usually caused by bacteria from the lower genital or gastrointestinal tract.White blood cell count is a marker of inflammation and infection, so a decreased white blood cell count indicates that the treatment is effective and the infection is resolving.

A) Decreased vaginal bleeding is not a sign of effective treatment for postpartum endometritis.

Vaginal bleeding after delivery is normal and gradually decreases over time.It is not related to the infection of the uterus.

B) Increased abdominal pain is a sign of worsening infection, not effective treatment.Abdominal pain is one of the symptoms of postpartum endometritis and should improve with antibiotic therapy.

C) Increased temperature is also a sign of worsening infection, not effective treatment.Fever is another symptom of postpartum endometritis and should decrease with antibiotic therapy.

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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 treatment is effective? A) Decreased vaginal bleeding.

Correct Answer is D

Explanation

(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 has an episiotomy wound infection. Which of the following should the nurse do? (Select all that apply.) A) Administer antibiotics as prescribed.

(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 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 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 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?

A nurse is caring for a client who has postpartum endometritis and is receiving IV antibiotics. Which of the following instructions should the nurse include in the plan of care? A) Encourage fluid intake to promote hydration.

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?