A woman is brought to the labor and delivery unit after delivering a full term infant and the placenta in the hospital parking lot 10 minutes ago. What action should the nurse perform first?

Perform a fundal massage.

Draw blood for hemoglobin and hematocrit.

Obtain a complete obstetrical history.

Inspect the perineum for lacerations.

Answer and Explanation

The Correct Answer is A

Choice A: Performing a fundal massage is the first priority in this situation to assess and manage uterine tone and prevent postpartum hemorrhage.

Choice B: Drawing blood for hemoglobin and hematocrit can be important but is not the immediate priority when the client has just delivered outside the hospital.

Choice C: Obtaining a complete obstetrical history is important but can be done after addressing the immediate postpartum concerns.

Choice D: Inspecting the perineum for lacerations is also important but should be done after addressing uterine tone and hemorrhage prevention.

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Correct Answer is C

Explanation

Choice A: Salad greens with tomatoes do not provide a significant source of protein.

Choice B: One slice of cheese pizza may contain saturated fats from cheese and processed meats, so it may not be the best choice if the goal is to reduce saturated fat intake.

Choice C: A roasted turkey sandwich can be a good alternative source of protein without the same level of saturated fats found in hamburgers. Turkey is typically leaner than beef, and if prepared without excessive fats or sauces, it can be a healthier choice.

Choice D: Baked potato with low-fat butter is primarily a source of carbohydrates and fats but does not provide a significant source of protein.

A. Inform the client that oatmeal contains gluten. B. Encourage the client to choose decaffeinated coffee. C. Commend the client for selecting fat free milk. D. Advise the client that too much fruit can irritate the colon.

Correct Answer is A

Explanation

Choice A: Oatmeal is often considered a source of gluten, which should be avoided by individuals with celiac disease. The nurse should inform the client that oatmeal may not be suitable for a gluten-free diet.

Choice B: Encouraging the client to choose decaffeinated coffee is a minor consideration and is not the most important action related to celiac disease.

Choice C: Commending the client for selecting fat-free milk is unrelated to the issue of gluten in the oatmeal and is not the most important action.

Choice D: Advising the client about the potential irritant effects of too much fruit on the colon is not directly related to the issue of gluten in the oatmeal and is not the most important action.

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A woman is brought to the labor and delivery unit after delivering a full term infant and the placenta in the hospital parking lot 10 minutes ago. What action should the nurse perform first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client expresses an interest in reducing intake of saturated fats and plans to stop eating hamburgers at lunch. Which menu item should the nurse suggest as an alternative source of protein?

Correct Answer is C

Explanation

A client with celiac disease selects a bowl of oatmeal with fresh fruit and skim milk, grapefruit juice, and coffee from the breakfast menu. Which action is most important for the nurse to implement?

Correct Answer is A

Explanation

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