A nurse is reinforcing discharge instructions for a client.
At 4 weeks postpartum, the client should contact the provider for which of the following client findings?

Sore nipple with cracks and fissures.

Scant nonodorous white vaginal discharge.

Uterine cramping during breastfeeding.

Decreased response with sexual activity.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Sore nipples with cracks and fissures can indicate an infection or improper breastfeeding technique, requiring medical attention.

Choice B rationale

Scant nonodorous white vaginal discharge is normal postpartum and does not require contacting the provider.

Choice C rationale

Uterine cramping during breastfeeding is a normal physiological response due to oxytocin release.

Choice D rationale

Decreased response with sexual activity can be normal postpartum and does not necessarily require immediate medical attention.

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Correct Answer is A

Explanation

Choice A rationale

Ambulation is crucial in preventing thrombophlebitis as it promotes blood circulation and prevents blood stasis, which can lead to clot formation.

Choice B rationale

Warm, moist soaks can provide comfort but do not significantly contribute to preventing thrombophlebitis.

Choice C rationale

Bed rest increases the risk of thrombophlebitis due to decreased circulation and blood stasis.

Choice D rationale

Placing pillows under the knees can impede blood flow and increase the risk of clot formation.

A. Arrange for counseling to help the client cope with the stress of being a parent. B. Reinforce teaching about ways to increase rest and sleep. C. Request a prescription for an antidepressant medication. D. Use a postpartum depression-screening tool with the client.

Correct Answer is D

Explanation

Choice D rationale

Using a postpartum depression-screening tool with the client is the first action the nurse should take. This tool helps to assess the severity of the client’s symptoms and determine the appropriate level of care. Early identification and intervention are crucial in managing postpartum depression effectively.

Choice A rationale

Arranging for counseling to help the client cope with the stress of being a parent is important, but it is not the first action. Counseling can be part of the treatment plan after the initial assessment using the screening tool.

Choice B rationale

Reinforcing teaching about ways to increase rest and sleep is beneficial for the client’s overall well-being, but it does not address the immediate need to assess the severity of the client’s depressive symptoms.

Choice C rationale

Requesting a prescription for an antidepressant medication may be necessary, but it should be based on the results of the screening tool and a thorough assessment by a healthcare provider.

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A nurse is reinforcing discharge instructions for a client.At 4 weeks postpartum, the client should contact the provider for which of the following client findings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 1 day postpartum following a cesarean birth.To prevent thrombophlebitis, the nurse should contribute which of the following interventions to the client’s plan of care?

Correct Answer is A

Explanation

A nurse is caring for a client who is 2 weeks postpartum.The client tells the nurse, “I feel really down and sad lately.I have no energy and I feel like I’m going to cry.”. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

A nurse is caring for a postpartum client who saturates a perineal pad in 10 minutes.Which of the following actions should the nurse take first?

A nurse is contributing to the plan of care for a client who is postpartum and has thrombophlebitis.Which of the following nursing interventions should the nurse recommend?

A new mother who is bottle feeding says that she is happy to not have to use birth control for several months after having a baby.What should the nurse say in response?

After a client has a C-section she needs to get up and take short walks to prevent what?

A nurse is collecting data from a client who is 12 hours postpartum following a spontaneous vaginal delivery.The nurse should expect to find the uterine fundus at which of the following positions on the client’s abdomen?

In your patients who have sustained an episiotomy or a laceration, your nursing care would include? (Select all that apply.)

During ambulation to the bathroom, a postpartum client experiences a gush of dark red blood that soon stops.On data collection, a nurse finds the uterus to be firm, midline, and at the level of the umbilicus.Which of the following findings should the nurse interpret this data as being?

A nurse is caring for a client who just delivered a stillborn infant at 36 weeks gestation. Which of the following responses should the nurse make?

A nurse is reinforcing discharge instructions for a client.
At 4 weeks postpartum, the client should contact the provider for which of the following client findings?