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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
This is a condition where there is too little amniotic fluid around the fetus.This increases the risk of umbilical cord prolapse because the cord can easily slip past the presenting part of the fetus and into the cervix or vagina.
This can cause fetal hypoxia and distress due to compression or occlusion of the cord.
Choice A. Transverse lie is wrong because this is a condition where the fetus lies horizontally across the uterus.This can increase the risk of cord prolapse if the membranes rupture and the cord descends alongside or before the fetus.
Choice B. Macrosomia is wrong because this is a condition where the fetus is larger than average.This can decrease the risk of cord prolapse because the presenting part of the fetus is more likely to fill the pelvis and prevent the cord from slipping past.
Choice D. Placenta previa is wrong because this is a condition where the placenta covers part or all of the cervix.This can increase the risk of bleeding during labor, but not necessarily cord prolapse.
Correct Answer is A
Explanation
The correct answer is choice A. Normal involution.
This means that the uterus is returning to its pre-pregnancy size and position after delivery.
The fundus is the upper part of the uterus and it should be firm, midline, and gradually descend into the pelvis.A fundus that is 2 cm below the umbilicus at 4 hours postpartum is within the normal range.
Choice B. Subinvolution is wrong because it refers to a delayed or incomplete involution of the uterus.
This can result in prolonged bleeding, infection, or retained placental fragments.A fundus that is above the umbilicus, boggy, or displaced to one side may indicate subinvolution.
Choice C. Retained placenta is wrong because it means that some or all of the placenta remains in the uterus after delivery.
This can cause heavy bleeding, infection, or uterine atony.A fundus that is high, soft, or tender may indicate retained placenta.
Choice D. Endometritis is wrong because it means that the lining of the uterus is inflamed due to infection.
This can cause fever, foul-smelling lochia, pelvic pain, or uterine tenderness.A fundus that is enlarged, tender, or malodorous may indicate endometritis.
Normal ranges for fundal height after delivery are:
• Immediately after delivery:
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