A postpartum client who is giving her new baby formula feedings asks the nurse when she should expect to start menstruating again. Which information should the nurse tell the client?

When placental site has healed.

Four weeks after birth.

Six to eight weeks after birth.

When ovulation resumes.

Answer and Explanation

The Correct Answer is C

A. When placental site has healed: While the healing of the placental site is important for overall postpartum recovery, menstruation typically resumes after other factors, such as hormonal changes, are regulated, and this is not directly tied to the healing of the site.

B. Four weeks after birth: It is uncommon for menstruation to resume just four weeks after birth. Most women, especially those who are not breastfeeding, may have their first postpartum period a bit later.

C. Six to eight weeks after birth: The typical time for menstruation to return is around six to eight weeks postpartum, although it may vary depending on the individual and whether the woman is breastfeeding or not. Non-breastfeeding women often resume menstruation sooner.

D. When ovulation resumes: Ovulation is a key factor in the return of menstruation, but it is not always directly tied to a specific timeline, and it can vary. For many women, menstruation resumes around six to eight weeks postpartum, although ovulation may occur earlier.

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Correct Answer is A

Explanation

A. Wear a supportive bra at all times: A supportive bra helps reduce discomfort by providing proper support to engorged breasts. This can help alleviate pressure and make the mother feel more comfortable while breastfeeding.

B. Put a heating pad on the breasts while they are engorged: While heat can sometimes help with milk flow before breastfeeding, it can make engorgement worse by increasing milk production. Cold compresses are typically recommended to reduce swelling and discomfort in engorged breasts.

C. Take two acetaminophen to relieve the discomfort: While acetaminophen can help manage pain, it is not the most effective solution for engorgement. Non-pharmacological methods like using supportive bra or cold compresses are often more effective in addressing the discomfort.

D. Use breast cream to help prevent discomfort: Breast creams are not typically effective for managing engorgement. The primary management for engorgement is addressing the physical discomfort through proper support and milk removal such as breastfeeding or expressing.

A. A High-Fowler's with the arm on the operative side elevated on pillows. B. Semi-Fowler's with the arm on the operative side in a dependent position. C. High-Fowler's with the arm on the operative side in a dependent position. D. Semi-Fowler's with the arm on the operative side elevated on pillows.

Correct Answer is D

Explanation

A. A High-Fowler's with the arm on the operative side elevated on pillows: While elevating the arm is important, a high-Fowler's position may cause unnecessary strain on the surgical site and is not recommended for comfort and healing in the immediate postoperative period.

B. Semi-Fowler's with the arm on the operative side in a dependent position: Keeping the arm in a dependent position can increase the risk of swelling and lymphedema, which should be avoided after a mastectomy.

C. High-Fowler's with the arm on the operative side in a dependent position: The high-Fowler's position, combined with keeping the arm in a dependent position, would likely increase swelling and discomfort and is not recommended postoperatively.

D. Semi-Fowler's with the arm on the operative side elevated on pillows: The semi-Fowler's position is ideal for comfort and healing, and elevating the arm helps reduce the risk of lymphedema by encouraging proper drainage and circulation post-surgery. This is the most appropriate position to promote recovery.

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A postpartum client who is giving her new baby formula feedings asks the nurse when she should expect to start menstruating again. Which information should the nurse tell the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

How should the nurse plan to position a client who has just undergone a radical mastectomy?

Correct Answer is D

Explanation

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