A postpartum client who delivered vaginally 6-hours ago and had a second-degree perineal laceration reports feeling increased pain and pressure in her vaginal area. Which intervention should the practical nurse (PN) implement?

Notify the healthcare provider.

Provide routine perineal care.

Medicate with 800 mg ibuprofen.

Apply an icepack to the perineum.

Answer and Explanation

The Correct Answer is D

If a postpartum client who delivered vaginally 6-hours ago and had a second-degree perineal laceration reports feeling increased pain and pressure in her vaginal area, the practical nurse (PN) should apply an icepack to the perineum.Applying an icepack can help reduce swelling and provide pain relief in the aﬀected area. The PN should also monitor the client's condition and report any changes or concerns to the healthcare provider. The other interventions listed may also be appropriate in some situations, but applying an icepack to the perineum is the most appropriate initial intervention in this situation.

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

Explanation

The practical nurse (PN) should obtain a serum glucose level to assess the client's blood sugar level, which can help to determine if the client is experiencing hyperglycemia or diabetic ketoacidosis (DKA). Anorexia, drowsiness, and polydipsia, along with the reported frequent urination and bedwetting, are symptoms of hyperglycemia or DKA.

Oﬀering age-appropriate toys (B) or suggesting diapers for bedtime use (C) are not appropriate actions for the PN to take in this situation.

Bringing orange juice and crackers (D) may help to increase the client's blood sugar level in the short term, but it does not address the underlying issue and may exacerbate the client's symptoms if she is experiencing hyperglycemia or DKA.

A. Support the client's upper body and knees with pillows. B. Encourage the client to push with the next contraction. C. Assist the team to prepare for a possible cesarean delivery. D. Gently wrap the cord with a dry sterile dressing.

Correct Answer is C

Explanation

The umbilical cord prolapse is an emergency situation that requires immediate intervention. The PN should not attempt to push the cord back into the vagina or cover it with a dry sterile dressing. Instead, the PN should notify the healthcare provider and the obstetrical team and assist in preparing for an emergency cesarean delivery.

Option A and B may be appropriate in some situations, but they are not the priority in this scenario.

Therefore, options A, B, and D are not answers because they do not address the immediate emergency of umbilical cord prolapse.

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 postpartum client who delivered vaginally 6-hours ago and had a second-degree perineal laceration reports feeling increased pain and pressure in her vaginal area. Which intervention should the practical nurse (PN) implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 6-year-old female client who was recently diagnosed with type 1 diabetes mellitus (DM) comes to the clinic with anorexia, drowsiness, and polydipsia. Her parents report frequent urination and bedwetting episodes almost nightly. Which action should the practical nurse (PN) take?

Correct Answer is A

Explanation

The practical nurse (PN) is assigned to assist in the care of a laboring client at 42-weeks gestation. While providing perineal care, the PN observes the umbilical cord protruding from the vagina. Which action should the PN take?

Correct Answer is C

Explanation

A 3-month-old with bronchiolitis is brought to the clinic experiencing irritability and poor oral intake. Which finding should alert the practical nurse (PN) that the child is in acute respiratory distress?

A newborn infant with a tracheoesophageal repair is receiving gastrostomy (GT) feedings postoperatively. Which intervention should the practical nurse (PN) implement during the GT feedings?

The practical nurse (PN) is assisting with collecting health information at a health fair for high school students. Which information is most important for the PN to obtain?

A client on the mental health unit has been scowling and rapidly pacing up and down the hall for several minutes. Which behaviors are most important for the practical nurse (PN) to monitor?

The father of a newborn asks the practical nurse (PN) why an injection is being given to his baby. Which response by the PN best explains the purpose of administering Phyto menadione injectable to newborns?