A nurse is providing instructions for a client at 4 weeks postpartum visit, the client should contact her provider for which of the following findings?
Decreased response with sexual activity
a scant non-odorous white vaginal discharge
uterine cramping during breastfeeding
a moderate serosanguineous malodorous discharge
The Correct Answer is D
A. Decreased response with sexual activity – Incorrect; decreased libido is common postpartum and not an urgent concern.
B. A scant non-odorous white vaginal discharge – Incorrect; lochia alba (whitish discharge) is normal at 4 weeks postpartum.
C. Uterine cramping during breastfeeding – Incorrect; cramping (due to oxytocin release) is expected postpartum.
D. A moderate serosanguineous malodorous discharge – Correct; foul-smelling lochia can indicate endometritis (a postpartum infection).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Increased risk of vomiting – Incorrect; ORS does not increase vomiting risk. It is given in small amounts to prevent vomiting.
B. Alleviation of diarrhea symptoms – Incorrect; ORS does not stop diarrhea, but it prevents dehydration.
C. Decreased levels of electrolytes – Incorrect; ORS helps restore electrolytes, not decrease them.
D. Increased risk of dehydration – Incorrect; ORS prevents dehydration, which is its primary purpose.
Correct Answer is C
Explanation
A. Feel for a full bladder. – Incorrect; a full bladder can contribute to postpartum bleeding, but checking fundal firmness should be prioritized first.
B. Request the provider perform a vaginal examination. – Incorrect; the nurse should assess the fundus and attempt interventions first before calling the provider.
C. Check the client’s fundus. – Correct; the priority action is to assess the fundus for firmness, as a boggy uterus is the most common cause of postpartum hemorrhage.
D. Measure the client’s vital signs. – Incorrect; while vital signs are important, assessing fundal tone and initiating interventions come first.
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