A nurse working on a postpartum unit is collecting data from four clients. Which of the following findings should the nurse report to the provider?

A client who has a reddened area on their right calf

A client who reports painful uterine contractions during breastfeeding

A client who has a urinary output of 125 mL in 4 hr

A client who reports changing their perineal pad every 2 hr

Answer and Explanation

The Correct Answer is C

A)   Incorrect- A reddened area on the calf might indicate a potential blood clot (deep vein thrombosis), which is important to assess but may not be the highest priority.
B)   Incorrect- Painful uterine contractions during breastfeeding can be a normal response due to oxytocin release during breastfeeding and might not require immediate reporting.
C)   Correct - A urinary output of 125 mL in 4 hours is significantly low and could indicate inadequate fluid intake, potential urinary retention, or other issues that need prompt attention. It is a sign of impaired renal function. This could indicate dehydration, blood loss, infection, or kidney injury. The nurse should assess the client's fluid intake and output, vital signs, urine specific gravity, and serum electrolyte levels. The nurse should also monitor the client for signs of hypovolemia, such as tachycardia, hypotension, and decreased skin turgor.
D)   Incorrect- Changing a perineal pad every 2 hours is within the normal range for postpartum bleeding and might not require immediate reporting.

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Correct Answer is D

Explanation

A) Incorrect- The Papanicolaou (Pap) test is not used to determine ovulation status.

B) Incorrect-The Pap test is used to detect abnormal cervical cells and cervical cancer, not endometriosis.
C) Incorrect- The Pap test is not a procedure for removing uterine fibroids.

D) Correct - The primary purpose of the Pap test (Pap smear) is to detect abnormal cervical cells that could indicate the presence of cervical cancer or precancerous conditions.

A. Yogurt B. Avocados C. Peanut butter D. Long grain rice

Correct Answer is A

Explanation

A) Correct - Yogurt is a good source of calcium and is a suitable recommendation for a client with low calcium levels during pregnancy.
B) Incorrect- Avocados contain healthy fats and other nutrients, but they are not a particularly high source of calcium.
C) Incorrect- Peanut butter is a source of protein and healthy fats but does not provide a significant amount of calcium.
D) Incorrect- Long-grain rice is a carbohydrate source but does not contribute much to calcium intake.

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A nurse working on a postpartum unit is collecting data from four clients. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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