A woman will be discharged 48 hours after a vaginal delivery. When planning discharge teaching, the nurse would include what information about lochia?
Lochia should disappear 2 to 4 weeks postpartum.
A decrease in flow will be noticed with ambulation and activity.
A change in lochia from pink to bright red should be reported
It is normal for the lochia to have a slightly foul odor.
The Correct Answer is C
A. Lochia should disappear 2 to 4 weeks postpartum: Normal postpartum lochia gradually decreases in amount and changes color from red (lochia rubra) to pink or brown (lochia serosa) and finally to yellow-white (lochia alba). Complete resolution typically occurs within 4 to 6 weeks after delivery.
B. A decrease in flow will be noticed with ambulation and activity: Activity and ambulation usually increase uterine blood flow, often causing a temporary increase in lochia rather than a decrease. Decreased flow with activity is not expected.
C. A change in lochia from pink to bright red should be reported: The expected progression is from red to lighter colors; A return to a bright red flow could be a sign of a postpartum hemorrhage or retained placental fragments.
D. It is normal for the lochia to have a slightly foul odor: Foul-smelling lochia can indicate infection, particularly endometritis. Normal lochia may have a mild, earthy odor, so a distinctly foul smell warrants prompt evaluation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Oh, this isn't difficult. You'll be fine doing this.": This statement minimizes the mother’s feelings and does not provide support or guidance. It may leave her feeling dismissed or anxious about her ability to feed the newborn.
B. "Feeding an infant can feel a little intimidating at first, but I'll stay and help you.": This response acknowledges the mother’s concerns, normalizes her feelings, and offers hands-on support. It encourages confidence and promotes skill-building in a safe environment.
C. "I'll feed him today. Maybe tomorrow you can try it.": Taking over the feeding does not empower the mother or provide her with the opportunity to learn and gain confidence in newborn care.
D. "You can learn to feed him; I wasn't comfortable the first time I fed a baby either.": Sharing personal experience may not be helpful and can shift focus away from the mother’s needs. While well-intentioned, it does not actively provide guidance or support in the moment.
Correct Answer is ["A","B","C"]
Explanation
A. Concentrated liquid formula: This type requires mixing with a specific amount of water before feeding. It is commercially prepared, nutritionally complete, and convenient for parents who need a balance between storage and preparation ease.
B. Powdered formula: Powdered formula is one of the most common types, requiring reconstitution with water. It is cost-effective, easy to store, and provides complete nutrition when prepared according to manufacturer instructions.
C. Ready-to-feed formula: This formula is pre-mixed and does not require water, making it the most convenient and safest option when sanitation or water quality is a concern. It is particularly useful for hospital or travel use.
D. Cow's milk: Cow’s milk is not recommended for infants under 12 months because it lacks essential nutrients like adequate iron, vitamin E, and fatty acids, and can stress immature kidneys.
E. Canned evaporated milk: Evaporated milk is not nutritionally complete for infants and requires supplementation. It is not a standard formula and is generally not recommended for infant feeding without modification and guidance from a healthcare provider.
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