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 D

Explanation

The correct answer is choice D. Both A and B.A boggy uterus is a uterus that is enlarged, soft, and tender due to the failure of the uterus to contract sufficiently after delivery.This condition is called uterine atony and it is the most common cause of postpartum hemorrhage.Postpartum hemorrhage is excessive bleeding after childbirth that can lead to shock and death if not treated promptly.

The nursing actions indicated for a boggy uterus are:

• Perform immediate fundal massage: This helps to stimulate uterine contractions and reduce bleeding.

• Ambulate to the bathroom or use bedpan to empty bladder: This helps to reduce bladder distension and allow the uterus to contract and descend into the pelvis.

Choice A is partially correct but not sufficient by itself.

Choice B is also partially correct but not sufficient by itself.Choice C is incorrect because administering oxytocin alone may not be effective in restoring uterine tone if there are other factors contributing to uterine atony, such as overdistension, prolonged labor, or infection.Oxytocin is a hormone that stimulates uterine contractions.

A. Bowel sounds B. Lochia amount C. Breast tenderness D. Urinary output E. Signs of peritonitis

Correct Answer is A

Explanation

The correct answer is choice E) Signs of peritonitis.

Peritonitis is an inflammation of the lining of the abdominal cavity that can be caused by an infection or a perforation of an organ.

It can cause severe abdominal pain and tenderness, fever, nausea, vomiting, and decreased bowel sounds.Peritonitis is a medical emergency that requires immediate treatment with antibiotics and surgery

Choice A) Bowel sounds is wrong because bowel sounds are normal and expected after a cesarean section.

They indicate that the intestines are functioning properly and moving food and gas through the digestive tract.Bowel sounds may be decreased or absent if there is an obstruction, ileus, or peritonitis

Choice B) Lochia amount is wrong because lochia is the vaginal discharge that occurs after childbirth.

It consists of blood, mucus, and tissue from the uterus.

Lochia amount is not related to abdominal pain and tenderness after a cesarean section.

Lochia amount may vary depending on the stage of lochia (rubra, serosa

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

Correct Answer is D

Explanation

Question 48. A client who has undergone a cesarean section is experiencing abdominal pain and tenderness. Which of the following should the nurse assess for?

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?

A nurse is caring for a postpartum client who delivered vaginally yesterday and has been experiencing heavy vaginal bleeding since delivery. Which of the following actions should the nurse take first?

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?

(select all that apply, from search results) What are three signs of positive bonding between parents and newborn?

(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 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?

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?