A nurse is providing discharge teaching to a client who had a cesarean delivery due to cord prolapse.
Which of the following instructions should the nurse include in the teaching?
Avoid lifting anything heavier than the newborn for 6 weeks.
Resume sexual intercourse as soon as bleeding stops.
Take ibuprofen for pain relief as needed
Report any foul-smelling vaginal discharge to the provider.
The Correct Answer is A
The correct answer is choice A.
The nurse should instruct the client to avoid lifting anything heavier than the newborn for 6 weeks. This is because lifting heavy objects can strain the abdominal muscles and the incision site, and increase the risk of bleeding and infection.
Choice B is wrong because the nurse should advise the client to wait at least 4 to 6 weeks before resuming sexual intercourse. This is to allow the incision to heal and prevent infection and discomfort.
Choice C is wrong because the nurse should not recommend ibuprofen for pain relief as it can interfere with blood clotting and increase bleeding. The nurse should suggest acetaminophen or a prescribed analgesic instead.
Choice D is wrong because the nurse should not tell the client to report any foul-smelling vaginal discharge to the provider.
The client should expect some vaginal discharge (lochia) for several weeks after a cesarean delivery, which may have a mild odor. However, the nurse should instruct the client to report signs of infection such as fever, chills, redness, swelling, or increased pain at the incision site.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choiceA.
The nurse should instruct the client to avoid lifting anything heavier than the newborn for 6 weeks.This is because lifting heavy objects can strain the abdominal muscles and the incision site, and increase the risk of bleeding and infection.
ChoiceBis wrong because the nurse should advise the client to wait at least 4 to 6 weeks before resuming sexual intercourse.This is to allow the incision to heal and prevent infection and discomfort.
ChoiceCis wrong because the nurse should not recommend ibuprofen for pain relief as it can interfere with blood clotting and increase bleeding.The nurse should suggest acetaminophen or a prescribed analgesic instead.
ChoiceDis wrong because the nurse should not tell the client to report any foul-smelling vaginal discharge to the provider.
The client should expect some vaginal discharge (lochia) for several weeks after a cesarean delivery, which may have a mild odor.However, the nurse should instruct the client to report signs of infection such as fever, chills, redness, swelling, or increased pain at the incision site.
Correct Answer is ["B","C","D","E"]
Explanation
The correct answer is choice B, C, D and E.These are all fetal presentations that increase a patient’s risk for umbilical cord prolapse.Umbilical cord prolapse is when the umbilical cord comes out of the uterus with or before the presenting part of the baby.This can cause fetal hypoxia and brain damage due to cord compression.
Choice A is wrong because vertex presentation is the most common and normal fetal position, where the head is down and fully flexed.
This does not increase the risk of cord prolapse.
Normal ranges for fetal presentation are:
• Vertex: 95% of term deliveries.
• Breech: 3% to 4% of term deliveries.
• Transverse lie: 0.5% of term deliveries.
• Face: 0.2% of term deliveries.
• Brow: 0.1% of term deliveries.
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