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

Answer and Explanation

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).

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Correct Answer is ["A","C","E"]

Explanation

A. Have you noticed any bloody show or mucus plug discharge? – Correct; bloody show is a sign of cervical dilation, indicating true labor.

B. Do you have a fever or chills? – Incorrect; fever and chills suggest infection, not labor progression.

C. Are your contractions continuing despite changes in activity or position? – Correct; contractions in true labor persist even with activity changes.

D. Is the baby moving less than usual? – Incorrect; fetal movement changes require assessment, but they do not confirm true labor.

E. Are your contractions becoming more frequent and intense? – Correct; contractions in true labor become stronger, longer, and closer together.

A. Maturation of germ cells in ovaries B. Gender differentiation takes place C. Implantation begins D. Differentiation begins

Correct Answer is B

Explanation

A. Maturation of germ cells in ovaries – Incorrect; this occurs later in fetal development and after birth.

B. Gender differentiation takes place – Correct; the embryonic stage (weeks 3-8) is when gender differentiation occurs at around week 7-8.

C. Implantation begins – Incorrect; implantation happens in the blastocyst stage (week 1-2), before the embryonic stage.

D. Differentiation begins – Incorrect; cell differentiation starts earlier, in the blastocyst stage, before full embryonic development.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A woman calls the labor and delivery unit stating she is in labor. What questions would you ask her to determine if she is in true labor? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

What occurs in the embryonic stage of fetal development?

Correct Answer is B

Explanation

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