A nurse on the postpartum unit is caring for four patients.
For which of the following patients should the nurse notify the provider?

Patient who has a urinary output of 300 ml in 8 hours

Patient who reports lochia rubra requiring changing perineal pads every 3 hours

Patient who is receiving magnesium sulfate and has absent deep tendon reflexes

Patient who reports abdominal cramping during breastfeeding

Answer and Explanation

The Correct Answer is C

Choice A rationale
A urinary output of 300 ml in 8 hours is within the normal range for a postpartum patient. The average urinary output is about 30 ml/hour.
Choice B rationale
Lochia rubra is a normal finding in the immediate postpartum period. It is the initial vaginal discharge after childbirth, which is red because it contains a large amount of blood. Changing perineal pads every 3 hours is considered normal.
Choice C rationale

A patient who is receiving magnesium sulfate and has absent deep tendon reflexes is experiencing magnesium toxicity. This is a serious condition that can lead to respiratory depression and cardiac arrest. The healthcare provider should be notified immediately.
Choice D rationale
Abdominal cramping during breastfeeding is a normal finding. During breastfeeding, the hormone oxytocin is released which can cause uterine contractions and lead to cramping.

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Correct Answer is D

Explanation

The correct answer is choiced. Inform the client about the possible need for reduction of multiple fetuses.

Choice A rationale:

Instructing the client not to use donor oocytes is not accurate.Donor oocytes can be a viable option for clients with certain infertility issues, such as ovarian insufficiency or genetic concerns.

Choice B rationale:

Informing the client that sperm will be introduced to the uterus during ovulation is incorrect.In vitro fertilization involves fertilizing the eggs outside the body in a laboratory setting, not directly introducing sperm into the uterus.

Choice C rationale:

Instructing the client to avoid freezing embryos for possible use in the future is not appropriate.Freezing embryos is a common practice in IVF to allow for future attempts if the initial cycle is unsuccessful.

Choice D rationale:

Informing the client about the possible need for reduction of multiple fetuses is correct.IVF can result in multiple pregnancies, and in some cases, fetal reduction may be recommended to ensure the health and safety of the mother and remaining fetuses.

A. Check the newborn’s identification using the crib card. B. Require visitors to wear an identification band. C. Replace the infant’s identification band after his name has been recorded. D. Obtain an imprint of the infant’s feet prior to taking him to the nursery.

Correct Answer is D

Explanation

Choice A rationale
Checking the newborn’s identification using the crib card is not the most reliable method. The crib card could be misplaced or switched accidentally.
Choice B rationale
Requiring visitors to wear an identification band does not directly ensure the proper identification of newborns. While it can enhance the security of the unit, it does not link the newborn to their correct parents.
Choice C rationale
Replacing the infant’s identification band after his name has been recorded is not the most effective method. The identification band should be placed on the newborn immediately after birth to prevent mix-ups.

Choice D rationale
Obtaining an imprint of the infant’s feet prior to taking him to the nursery is the correct answer. This method is a reliable way to identify newborns. The footprints, along with the mother’s fingerprints, are often taken within the first hour after birth. This can be used for identification throughout the hospital stay.

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A nurse on the postpartum unit is caring for four patients. For which of the following patients should the nurse notify the provider?

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A nurse on the postpartum unit is caring for four patients.
For which of the following patients should the nurse notify the provider?