A nurse is providing discharge instructions to a client who is 3 days postoperative following a cesarean birth.
Which of the following statements from the client indicates that the teaching has been effective? (Select all that apply.)

“I will rest in a recliner until my incision is healed.”.

“I will call my provider if I have discharge from my incision.”.

“I will resume taking my prenatal vitamins.”.

“I should not have unrelieved pain in my abdomen.”.

Answer and Explanation

Correct Answer : B,C,D

Choice A rationale

Resting in a recliner until the incision is healed is not recommended following a cesarean birth. It’s important for the client to gradually increase their activities and mobility to promote healing and prevent complications such as blood clots.

Choice B rationale

It’s crucial for the client to monitor their incision for signs of infection, such as increased redness, swelling, pain, or discharge. Therefore, calling the provider if there is discharge from the incision indicates understanding of the discharge instructions.

Choice C rationale

Resuming prenatal vitamins is often recommended after a cesarean birth to aid in recovery and support breastfeeding if the client chooses to breastfeed. Prenatal vitamins contain essential nutrients that can help the client heal and recover after surgery.

Choice D rationale

Unrelieved abdominal pain is not a normal part of recovery and could indicate a complication such as an infection or a problem with the incision. Therefore, the client should understand that they should not have unrelieved pain in their abdomen and should contact their provider if they do.

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Correct Answer is C

Explanation

Choice A rationale

While congenital anomalies, growth restriction, and fetal distress during labor can occur in pregnancies, they are not directly associated with polyhydramnios. Polyhydramnios is a condition characterized by an excessive accumulation of amniotic fluid in the uterus during pregnancy.

Choice B rationale

Carrying more than one fetus can lead to a condition known as twin-to-twin transfusion syndrome, which can result in polyhydramnios in one twin and oligohydramnios in the other. However, carrying more than one fetus does not directly mean the mother will experience polyhydramnios.

Choice C rationale

Polyhydramnios is indeed characterized by an excessive amount of amniotic fluid present in the uterus during pregnancy. This can be due to various reasons such as fetal abnormalities, maternal diabetes, and others.

Choice D rationale

An elevated level of alpha-fetoprotein (AFP) in the amniotic fluid can be an indication of certain fetal abnormalities, but it is not a direct indicator of polyhydramnios.

A. The newborn is at risk for developing neonatal abstinence syndrome as evidenced by the urine toxicology screen results. B. The newborn is at risk for developing neonatal jaundice as evidenced by the yellowish skin tone. C. The newborn is at risk for developing neonatal hypoglycemia as evidenced by the low birth weight. D. The newborn is at risk for developing neonatal sepsis as evidenced by the maternal history of infection. E. The newborn is at risk for developing neonatal sepsis as evidenced by the maternal history of infection.

Correct Answer is C

Explanation

Choice A rationale

Neonatal abstinence syndrome is a condition that results from withdrawal from exposure to narcotics. It is not related to the newborn’s weight.

Choice B rationale

While a yellowish skin tone may indicate jaundice, this is not directly related to the newborn’s weight. Jaundice is caused by an excess of bilirubin, a yellow-orange substance in the blood.

Choice C rationale

Newborns with low birth weight are at risk for hypoglycemia because they have less stored glycogen. They may use up their glucose stores quickly and not have enough intake to maintain their blood glucose levels.

Choice D rationale

Neonatal sepsis is a severe infection in an infant less than 28 days old. It is not directly related to the newborn’s weight but can be associated with maternal infection.

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A nurse is providing discharge instructions to a client who is 3 days postoperative following a cesarean birth. Which of the following statements from the client indicates that the teaching has been effective? (Select all that apply.)

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. What does this diagnosis mean?

Correct Answer is C

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

A nurse is caring for a newborn who is 4 hours old. After reviewing the information in the newborn’s medical record, the nurse should recognize that the newborn is at risk for developing which of the following complications?

Correct Answer is C

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

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A nurse is providing discharge instructions to a client who is 3 days postoperative following a cesarean birth.
Which of the following statements from the client indicates that the teaching has been effective? (Select all that apply.)