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. The client's height – Incorrect; medication dosages in pediatrics are based primarily on weight (mg/kg), not height.
B. The safe dosage range – Correct; the nurse must verify that the prescribed dose falls within the recommended safe range to prevent underdosing or overdosing.
C. The client's age – Incorrect; while age may influence dosing, weight-based calculations are more accurate.
D. The client's gender – Incorrect; gender does not typically affect pediatric dosing calculations.
Correct Answer is C
Explanation
A. Picture book about hospitals – Incorrect; a picture book may help older children but is not as effective for a 2-year-old experiencing separation anxiety.
B. Toy hammer and pounding board – These toys can be good for physical activity, but they might not be calming during a stressful tantrum.
C. Stuffed animal – Correct; comfort objects help reduce anxiety and provide security in an unfamiliar environment.
D. Set of building blocks – Incorrect; blocks help with fine motor development but do not directly address stress relief as well as other options.
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