A primipara tells the nurse, "My afterpains get worse when I am breastfeeding." What is the most appropriate nursing response?
"Breastfeeding releases a hormone that causes your uterus to contract."
"I’ll get you some aspirin to relieve the cramping that you feel."
"Afterpains are more intense with your first baby."
"A change of position when you're breastfeeding might help.”
The Correct Answer is A
A. Breastfeeding releases a hormone that causes your uterus to contract: Suckling stimulates the release of oxytocin from the posterior pituitary, which promotes uterine contractions. These contractions help the uterus return to its pre-pregnancy size, explaining why afterpains may intensify during breastfeeding.
B. I’ll get you some aspirin to relieve the cramping that you feel: While analgesics can reduce discomfort, the focus is on explaining the physiologic cause of afterpains. Aspirin is generally not recommended for postpartum pain management due to potential bleeding risks.
C. Afterpains are more intense with your first baby: Afterpains are typically more pronounced in multiparas because the uterus has been stretched by previous pregnancies. This explanation does not accurately reflect the usual pattern and may be misleading.
D. A change of position when you're breastfeeding might help: Changing position may improve comfort or latch but does not address the physiologic cause of afterpains. The primary factor increasing pain during breastfeeding is uterine contraction mediated by oxytocin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["100"]
Explanation
Calculation:
Total volume = 200 mL.
Infusion time = 2 hr.
- Calculate the infusion rate in milliliters per hour (mL/hr).
Infusion rate (mL/hr) = Total volume (mL) / Total time (hr)
= 200 mL / 2 hr
= 100 mL/hr.
Correct Answer is C
Explanation
A. Initiate oxygen therapy by nonrebreather mask: While oxygen may be indicated for hypovolemia or shock, immediate assessment of the cause of hypotension takes priority. Oxygen alone does not address the underlying source of potential postpartum hemorrhage.
B. Administer oxytocin infusion: Oxytocin helps contract the uterus and reduce bleeding, but it should be administered after assessing the uterus to confirm atony. Administering medications without assessment could delay targeted intervention.
C. Evaluate the firmness of the uterus: Postpartum hypotension can indicate hemorrhage, often caused by uterine atony. Assessing uterine firmness is the priority action because it identifies the source of bleeding and guides rapid interventions to prevent further hemodynamic instability.
D. Obtain a type and crossmatch: Preparing for possible transfusion is important in hemorrhage management, but it is not the first action. Immediate assessment and control of bleeding take precedence to stabilize the client.
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