A nurse is reinforcing postpartum discharge teaching to a client who had no immunity to varicella and was given the varicella vaccine.
Which of the following statements by the client indicates understanding?

I need a second vaccination at my postpartum visit.

I will need to use contraception for 3 months before considering pregnancy.

I was given the vaccine because my baby is O-positive.

I will be tested in 3 months to see if I have developed immunity.

Answer and Explanation

The Correct Answer is A

Choice A rationale

The client needs a second varicella vaccination at her postpartum visit to ensure full immunity. The initial dose provides partial immunity, and the second dose completes the vaccination series.

Choice B rationale

The client needs to use contraception for 1 month, not 3 months, before considering pregnancy after receiving the varicella vaccine. This is to prevent potential harm to a developing fetus.

Choice C rationale

The varicella vaccine is not given based on the baby’s blood type. It is administered to protect the client from varicella infection.

Choice D rationale

There is no need for testing to see if the client has developed immunity after receiving the varicella vaccine. The second dose is given to ensure full immunity. .

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

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

Explanation

Choice A rationale

Topical creams can help soothe and promote healing of the episiotomy or laceration site.

Choice B rationale

Sitz baths are effective in reducing pain and promoting healing by increasing blood flow to the perineal area.

Choice C rationale

Ice packs help reduce swelling and provide pain relief in the initial 24 hours post-delivery.

Choice D rationale

Tocolytics are not indicated for episiotomy or laceration care as they are used to suppress preterm labor.

Choice E rationale

Doing nothing is not appropriate as it does not address the pain or promote healing.

A. Fungal infection. B. Expected lochia progression. C. Retained placenta. D. Bacterial infection.

Correct Answer is B

Explanation

Choice A rationale

Fungal infections typically present with itching, redness, and a thick, white discharge resembling cottage cheese. The yellow-white vaginal drainage described is more consistent with lochia alba, the final stage of lochia, which is a normal postpartum discharge.

Choice B rationale

Lochia alba is the final stage of lochia, occurring around 10 to 14 days postpartum and lasting up to six weeks. It is characterized by a yellowish-white discharge, indicating the end of the postpartum bleeding process.

Choice C rationale

Retained placenta can cause prolonged bleeding and infection, but it is usually associated with heavy bleeding and not a yellow-white discharge. The presence of lochia alba suggests normal postpartum progression.

Choice D rationale

Bacterial infections often present with a foul-smelling discharge, pain, and fever. The yellow-white discharge described is more indicative of lochia alba, a normal postpartum occurrence.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is reinforcing postpartum discharge teaching to a client who had no immunity to varicella and was given the varicella vaccine.Which of the following statements by the client indicates understanding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

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

Explanation

The nurse working in a women’s clinic admits a patient who is almost 6 weeks postpartum and describes a yellow-white vaginal drainage.The nurse interprets this as indicating what?

Correct Answer is B

Explanation

A nurse is caring for a client who has unrelieved episiotomy pain 8 hr following delivery.Which of the following actions should the nurse take?

A nurse is collecting data from a client who gave birth 12 hr ago.The nurse notes the fundus is deviated to the right, boggy, and 2 cm above the umbilicus.Which of the following actions should the nurse take first?

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?

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?

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 collecting data from a client who is 1 day postpartum.Which of the following findings requires immediate intervention by the nurse?

A nurse is preparing to administer potassium chloride 30 mEq PO daily. The amount available is potassium chloride 20 mEq/15mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) .

A nurse is collecting data from a client who is 3 days postpartum and is breastfeeding.Her fundus is three fingerbreadths below the umbilicus, and her lochia rubra is moderate.Her breasts feel hard and warm.Which of the following recommendations should the nurse give the client?

A nurse is reinforcing postpartum discharge teaching to a client who had no immunity to varicella and was given the varicella vaccine.
Which of the following statements by the client indicates understanding?