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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Safety plan to keep in a purse at all times: While a safety plan is important, the nurse should focus on providing immediate resources and support to help the client feel safe and ensure access to a safe environment. A safety plan can be discussed later as part of ongoing support.
B. Paperwork needed to file a restraining order: Filing for a restraining order is a legal process, and while it may be important, it should not be the nurse's immediate priority. The client needs more immediate emotional and practical support.
C. Visit summary documenting the report of abuse: While documentation of the abuse is necessary for medical and legal purposes, the nurse's immediate priority should be to provide support and resources to help the client find safety.
D. Contact information for a women's shelter: Providing the client with contact information for a women's shelter is a crucial step in offering immediate support and resources. Shelters can provide a safe place to go and access to counseling or other resources for dealing with abuse.
Correct Answer is B
Explanation
A. Almost all women at 28-weeks gestation have anemia: While anemia is common in pregnancy, it is not typical for all women to have it. The nurse should provide specific information relevant to the client’s current values rather than generalizing.
B. Plasma volume increases, making the blood count appear low: During pregnancy, plasma volume increases significantly, which can dilute the blood and result in a lower hemoglobin and hematocrit level, even though the client may not have true anemia. This is a normal physiological change and is known as "physiological anemia of pregnancy."
C. Increasing intake of protein might improve these values: Protein intake is important during pregnancy, but it primarily supports tissue growth and development rather than directly improving hemoglobin or hematocrit levels.
D. It might be necessary to take an iron supplement twice daily: The client’s values are not significantly low enough to automatically recommend twice-daily iron supplements. The nurse should first explain the normal physiological changes in pregnancy before suggesting supplementation.
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