A postpartum client asks when her joints and ligaments will return to normal after delivery. Which response is correct?
"Joint relaxation is permanent after childbirth."
"They return to normal within 1-2 weeks after birth."
"They remain loose until breastfeeding stops."
"They return to normal within 6-8 weeks after birth."
The Correct Answer is D
Choice A reason: Joint relaxation is not permanent. Ligamentous laxity resolves as hormone levels normalize postpartum.
Choice B reason: Joints and ligaments do not return to normal within 1–2 weeks. The process of involution and hormonal stabilization takes longer.
Choice C reason: Breastfeeding does not prolong ligamentous laxity. Relaxin levels decrease after delivery regardless of breastfeeding status.
Choice D reason: Joints and ligaments typically return to their pre-pregnancy state within 6–8 weeks postpartum as relaxin levels decline and connective tissues regain tone. This is the correct response.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Drawing CBC and blood cultures is indicated when there is suspicion of infection, particularly with persistent fever or abnormal clinical signs. A temperature of 100.4°F within the first 24 hours postpartum is considered a normal physiological response to exertion during labor, dehydration, or breast engorgement, not necessarily infection.
Choice B reason: Monitoring the client’s temperature is appropriate because a mild elevation in temperature within the first 24 hours postpartum is common and usually resolves spontaneously. Continued monitoring ensures that if the temperature rises above 100.4°F after 24 hours or persists, infection can be promptly identified.
Choice C reason: Immediate reporting is not necessary for a single mild elevation in temperature within the first hour postpartum. It is not considered a critical finding unless accompanied by other abnormal signs.
Choice D reason: Administering Tylenol STAT is not warranted unless the client is symptomatic or the temperature is higher. Routine antipyretic administration for mild, expected postpartum temperature elevation is unnecessary.
Correct Answer is A
Explanation
Choice A reason: Stool softeners combined with increased fluid and fiber intake are the safest and most effective interventions. They prevent constipation, reduce straining, and minimize pain at the episiotomy site.
Choice B reason: Administering an enema is not the first-line intervention. It is invasive and may cause discomfort or trauma to the episiotomy site.
Choice C reason: Withholding oral intake until flatus is passed is inappropriate. Adequate nutrition and hydration are essential for recovery and bowel function.
Choice D reason: A low-fiber diet worsens constipation. Fiber is necessary to promote bowel motility and soften stool.
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