A postpartum client who plans on formula-feeding her newborn asks, "When should my period return?" Which response by the nurse would be most appropriate?
"It's difficult to say but it will probably return in about 2 to 3 weeks.”.
"You won't have to worry about it returning for at least 6 months.”.
"It varies, but you can estimate it returning in about 7 to 9 weeks.”.
"You don't have to worry about that now.It'll be quite a while.”. — . . .
The Correct Answer is C
Choice A rationale
A return of menses in 2 to 3 weeks postpartum is extremely rare for non-nursing mothers. The typical return is delayed by the involution of the uterus and the residual hormonal milieu from pregnancy. While follicular development can begin early, the complete cycle takes longer due to the required recovery of the hypothalamic-pituitary-ovarian axis.
Choice B rationale
This timeframe is typical for the return of menses in a mother who is exclusively breastfeeding, where prolactin suppresses ovulation by inhibiting gonadotropin-releasing hormone release. For a client who is formula-feeding, the suppression from pregnancy hormones rapidly diminishes once the placenta is expelled and prolactin levels are not maintained by suckling.
Choice C rationale
For a non-breastfeeding client, the pituitary hormones (FSH and LH) that stimulate the ovarian cycle return to pre-pregnancy levels more quickly than for a breastfeeding client. The first ovulation can occur as early as 4 to 6 weeks postpartum, and menstruation usually follows about two weeks later, making the 7 to 9 week range a common and appropriate estimate.
Choice D rationale
This response is dismissive and does not provide the client with the factual, anticipatory guidance she is requesting. Providing accurate information regarding the body's recovery and the resumption of the menstrual cycle is an essential component of postpartum education and self-care instruction. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"G,D,I"},"B":{"answers":"C,E,F"},"C":{"answers":"A,B,H"}}
Explanation
The correct answer is:. Rubra: Lasts from day 1-3 postpartum, Dark red color, Fleshy odor. Serosa: Serosanguineous consistency, Pinkish/brown color, Lasts from day 4-10 postpartum. Alba: Consists of mucus and leukocytes, Yellowish/white color, Lasts from day 10-8 weeks postpartum. .
Correct Answer is B
Explanation
Choice A rationale
Mastitis is an infection of the breast tissue, commonly presenting with localized pain, redness (erythema), warmth, swelling, and a fever. While cracked nipples can be an entry point for the bacteria causing mastitis, the primary and immediate cause of cracked and bleeding nipples is typically a mechanical injury from improper suction and friction, not the infection itself.
Choice B rationale
The most common mechanical cause of sore, cracked, or bleeding nipples is inadequate positioning or a poor latch. A shallow latch causes the nipple to rub against the roof of the baby's mouth instead of deep in the pharynx, leading to excessive friction and trauma. Correcting the latch ensures the nipple is positioned past the gum line, minimizing friction and allowing the nipple to rest comfortably.
Choice C rationale
Some initial nipple tenderness can be common in the first few days as the skin adjusts to the suction and moisture of breastfeeding. However, cracked and bleeding nipples are a sign of significant tissue trauma, indicating an incorrect technique, which is not considered normal or expected irritation, and requires prompt correction to prevent further damage and potential secondary infection.
Choice D rationale
Infrequent breastfeeding sessions primarily lead to engorgement or milk stasis, which can increase the risk of mastitis. While an engorged breast can make latching difficult, the direct cause of the cracked nipple trauma is the mechanical stress from the baby's mouth, regardless of the frequency. Frequent, correct breastfeeding is essential for successful lactation. —.
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