A nurse is providing discharge teaching to a client who is 3 days postoperative following a cesarean birth. Which of the following client statements indicates to the nurse that further teaching is needed??

"I am likely to have a fever during the first week I am home."

"I will call my provider if I have discharge from my incision."

"I should not have unrelieved pain in my abdomen."

"I will resume taking my prenatal vitamins."

Answer and Explanation

The Correct Answer is A

A.   Having a fever during the first week at home is not a normal or expected finding and may indicate an infection, requiring further assessment.
B.   Contacting the provider for incisional discharge is a proper response.
C. Not having unrelieved pain in the abdomen is an appropriate expectation.
D.   Resuming prenatal vitamins is a normal postoperative recommendation.

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Correct Answer is B

Explanation

A. This is not appropriate for the taking-in stage, as the woman may not be ready to absorb new information or focus on self-care. She may need more verbal instruction and demonstration from the nurse.
B. The taking-in stage is a period of passive, dependent behavior in which the woman reviews her childbirth experience and adjusts to the new role of motherhood. She may need to talk about her labor and delivery repeatedly and seek reassurance from others. The nurse should listen attentively and validate her feelings.
C. This is more suitable for the taking-hold stage, which occurs after the taking-in stage. In this stage, the woman becomes more active and independent, and shows interest in learning how to care for herself and her baby.
D. This is also more appropriate for the taking-hold stage, when the woman develops confidence and competence in her maternal role. In the taking-in stage, she may be more focused on her own needs and rely on others to care for the baby.

A. Vitamin K is not initially synthesized because of a sterile bowel at birth B. Vitamin K is responsible for the breakdown of bilirubin and the prevention of jaundice. C. Vitamin K is important in the production of white blood cells D. Vitamin K is important in the production of red blood cells

Correct Answer is A

Explanation

A. Vitamin K is a fat-soluble vitamin that is essential for blood clotting. Newborns have low levels of vitamin K because they do not have the intestinal bacteria that produce it. Therefore, they are given an injection of vitamin K shortly after birth to prevent bleeding disorders.
B. Vitamin K is not crucial for the breakdown of bilirubin.
C. Vitamin K primarily plays a role in blood clotting, not the production of white blood cells.
D. Vitamin K is not directly involved in the production of red blood cells.

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A nurse is providing discharge teaching to a client who is 3 days postoperative following a cesarean birth. Which of the following client statements indicates to the nurse that further teaching is needed??

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A primiparous woman is in the taking-in stage of psychosocial recovery and adjustment after childbirth. Recognizing the needs of women during this stage, how should the nurse respond?

Correct Answer is B

Explanation

The nurse is cognizant of which information related to the administration of vitamin K?

Correct Answer is A

Explanation

Nurses play a critical role in educating parents regarding measures to prevent infant abduction. Which instructions contribute to infant safety and security?

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