A nurse is providing discharge teaching to a client who had a vaginal delivery with a midline episiotomy.

Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

Use a sitz bath three times per day and after each bowel movement

Wipe from back to front after voiding or having a bowel movement

Apply ice packs to the perineum for the first 24 hours

Perform Kegel exercises several times per day

Report any increase in redness, swelling, or discharge from the episiotomy site.

Answer and Explanation

Correct Answer : A,C,D,E

The correct answer is choice A, C, D and E. These are the instructions that the nurse should include in the teaching for a client who had a vaginal delivery with a midline episiotomy.

• Choice A is correct because using a sitz bath three times per day and after each bowel movement can help reduce pain, swelling and infection of the perineum.

• Choice C is correct because applying ice packs to the perineum for the first 24 hours can help reduce inflammation and bleeding.

• Choice D is correct because performing Kegel exercises several times per day can help strengthen the pelvic floor muscles and improve urinary continence.

• Choice E is correct because reporting any increase in redness, swelling or discharge from the episiotomy site can help detect signs of infection or wound breakdown.

• Choice B is wrong because wiping from back to front after voiding or having a bowel movement can increase the risk of infection by introducing bacteria from the anal area to the vaginal area. The correct way to wipe is from front to back.

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Correct Answer is A

Explanation

Naloxone (Narcan) is a specific opiate antagonist that can reverse respiratory depression in newborn infants that may be due to transplacentally acquired opiates.It can be given intravenously, intramuscularly, intraosseously or subcutaneously.The recommended dose is 100 microgram/kg.

Choice B is wrong because nalbuphine (Nubain) is a mixed opiate agonist-antagonist that can cause respiratory depression and withdrawal symptoms in opioid-dependent mothers and infants.

Choice C is wrong because butorphanol (Stadol) is another mixed opiate agonist-antagonist that can have similar effects as nalbuphine.

Choice D is wrong because fentanyl (Sublimaze) is a synthetic opioid that can cause respiratory depression and sedation in both mothers and infants.

Normal ranges for respiratory rate in newborn infants are 30 to 60 breaths per minute.

Normal ranges for oxygen saturation in newborn infants are 90% to 100%.

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 providing discharge teaching to a client who had a vaginal delivery with a midline episiotomy. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who received meperidine (Demerol) IV for pain relief during labor 2 hours ago and is now ready to deliver vaginally. Which of the following medications should the nurse have available to reverse respiratory depression in the newborn?

Correct Answer is A

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

entanyl (Sublimaze) is a synthetic opioid that can cause respiratory depression and sedation in both mothers and infants. Normal ranges for respiratory rate in newborn infants are 30 to 60 breaths per minute. Normal ranges for oxygen saturation in newborn infants are 90% to 100%.

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A nurse is providing discharge teaching to a client who had a vaginal delivery with a midline episiotomy. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

A nurse is providing discharge teaching to a client who had a vaginal delivery with a midline episiotomy.

Which of the following instructions should the nurse include in the teaching? (Select all that apply.)