A nurse is teaching a postpartum client about lochia and when to report abnormal findings.

Which of the following statements by the client indicates an understanding of the teaching?

“I should report heavy bleeding.”

“I should report abdominal pain.”

“I should report foul odor.”

“I should report perineal itching.”.

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. “I should report foul odor.” This indicates an understanding of the teaching because foul odor is a sign of infection and should be reported to the healthcare provider. Lochia is the normal vaginal discharge after childbirth that contains blood, mucus, uterine tissue and other materials. It has three stages: lochia rubra (red), lochia serosa (pinkish brown) and lochia alba (yellowish white). Lochia usually lasts for four to eight weeks.

Choice A is wrong because heavy bleeding is expected for the first few days after delivery and then gradually decreases. However, if the bleeding is excessive or does not slow down, it could indicate a postpartum hemorrhage and should be reported immediately.

Choice B is wrong because abdominal pain is normal after delivery as the uterus contracts and shrinks back to its pre-pregnancy size. However, if the pain is severe or does not improve with pain medication, it could indicate a complication such as infection or retained placenta and should be reported.

Choice D is wrong because perineal itching is common after delivery due to healing of the tissues and stitches. However, if the itching is accompanied by redness, swelling, discharge or fever, it could indicate an infection and should be reported.

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Correct Answer is B

Explanation

The correct answer is choice B. Encourage the woman to empty her bladder regularly.A boggy uterus is a condition that occurs when the uterus fails to contract properly after childbirth, leading to excessive bleeding and possible postpartum hemorrhage.One of the causes of a boggy uterus is bladder distension, which can prevent the uterus from contracting and returning to its normal position.Therefore, encouraging the woman to empty her bladder regularly can help reduce the risk of a boggy uterus and postpartum hemorrhage.

Choice A is wrong because administering oxytocics as prescribed is not an action that the nurse should take, but rather the physician or midwife.Oxytocics are medications that stimulate uterine contractions and are used to treat a boggy uterus when other methods fail.

Choice C is wrong because providing a peri-bottle with warm water for cleansing after each voiding or bowel movement is not an action that can prevent or treat a boggy uterus.It is a hygiene measure that can help prevent infection and promote healing of the perineal area after childbirth.

Choice D is wrong because advising the woman to avoid tampons is not an action that can prevent or treat a boggy uterus.It is a precautionary measure that can help prevent infection and irritation of the vaginal canal after childbirth.Tampons should be avoided for at least six weeks after delivery.

A. Lochia rubra B. Lochia serosa C. Lochia alba D. No lochia

Correct Answer is A

Explanation

The correct answer is choice A. Lochia rubra.This is because lochia rubra is the first stage of postpartum bleeding and discharge, which lasts for about three to four days after giving birth.Lochia rubra is dark or bright red in color and contains blood, mucus, uterine tissue and other materials from the uterus.

Choice B.Lochia serosa is wrong because lochia serosa is the second stage of postpartum bleeding and discharge, which lasts for four to 12 days after giving birth.Lochia serosa is pinkish brown in color and thinner and more watery than lochia rubra.

Choice C.Lochia alba is wrong because lochia alba is the third and final stage of postpartum bleeding and discharge, which lasts from about 12 days to six weeks after giving birth.Lochia alba is yellowish white in color and contains little to no blood.

Choice D.No lochia is wrong because lochia is a normal part of the postpartum healing process and does not usually cause complications.Lochia helps clear the uterus of any residual tissue, blood and fluid after pregnancy.No lochia may indicate a problem such as infection or retained placenta.

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A nurse is teaching a postpartum client about lochia and when to report abnormal findings. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a postpartum client who has a boggy uterus. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is assessing a client who is 2 days postpartum. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is assessing the amount, color, odor, consistency, and presence of clots or tissue in the lochia of a postpartum client. Which of the following findings should the nurse report as abnormal?

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A nurse is caring for a client who is 5 days postpartum and has a vaginal birth with an episiotomy. The client reports that she has pain in her perineal area and asks the nurse what she can do to relieve the discomfort.

A nurse is teaching a postpartum client about lochia and when to report abnormal findings. Which of the following statements by the client indicates an understanding of the teaching?

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A nurse is caring for a client who is 4 days postpartum and has a vaginal birth with an episiotomy. The client reports that her perineal area is sore and asks the nurse what she can do to relieve the discomfort. Which of the following responses should the nurse make?

A nurse is teaching a postpartum client about lochia and when to report abnormal findings.

Which of the following statements by the client indicates an understanding of the teaching?