During ambulation to the bathroom, a postpartum client experiences a gush of dark red blood that soon stops.
On data collection, a nurse finds the uterus to be firm, midline, and at the level of the umbilicus.
Which of the following findings should the nurse interpret this data as being?

An indication of a cervical or perineal laceration.

Abnormally excessive lochia rubra flow.

A normal postural discharge of lochia.

Evidence of a possible vaginal hematoma.

Answer and Explanation

The Correct Answer is C

Choice A rationale

A cervical or perineal laceration would typically result in continuous bleeding rather than a gush that stops. The uterus would also not be firm and midline if there were a significant laceration.

Choice B rationale

Abnormally excessive lochia rubra flow would be continuous and not stop after a gush. The uterus being firm and midline indicates that the bleeding is not excessive.

Choice C rationale

A normal postural discharge of lochia occurs when pooled blood in the vagina is expelled upon standing or changing position. This is common and expected in the postpartum period.

Choice D rationale

A vaginal hematoma would present with localized pain and swelling, and the bleeding would not stop suddenly. The uterus being firm and midline also indicates that a hematoma is unlikely.

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

As a maternity-prepared nurse, the nurse understands that the client’s elevated WBC count is A. Expected due to postpartum recovery and A. Expected to decrease to normal levels in about one week postpartum.

Elevated WBC counts are common in the immediate postpartum period due to the body’s response to labor and delivery. These levels typically return to normal within the first week postpartum.

The elevated white blood cell (WBC) count in the immediate postpartum period is a normal physiological response to labor and delivery. Here’s why:

Body’s Response to Labor: During labor, the body undergoes significant stress and physical exertion, which naturally leads to an increase in WBC count.This is part of the body’s inflammatory response to the physical trauma of childbirth.
Postpartum Changes: After delivery, the body continues to experience changes as it begins to recover.The elevated WBC count helps the body to heal and protect against potential infections during this vulnerable period.
Expected Decrease: Typically, the WBC count peaks within the first 24 hours postpartum and then gradually decreases, returning to normal levels within the first week. This decrease aligns with the body’s recovery process as the immediate postpartum inflammation subsides.

In summary, the elevated WBC count is expected due to the body’s natural response to childbirth and is anticipated to normalize within about a week postpartum.

A. You won’t need to use it for at least 6 months. B. Most people don’t need it for 3 months. C. You might ovulate within 27 days. D. That’s right.

Correct Answer is C

Explanation

Choice A rationale

It is incorrect to say that birth control is not needed for at least six months. Ovulation can occur much sooner, and contraception should be discussed early.

Choice B rationale

Most people do not need birth control for three months is also incorrect. Ovulation can resume as early as three weeks postpartum.

Choice C rationale

Ovulation can occur within 27 days postpartum, making it important to discuss contraception early to prevent unintended pregnancies.

Choice D rationale

Agreeing with the statement is incorrect and can lead to misinformation. It is important to provide accurate information about postpartum ovulation and contraception.

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During ambulation to the bathroom, a postpartum client experiences a gush of dark red blood that soon stops.On data collection, a nurse finds the uterus to be firm, midline, and at the level of the umbilicus.Which of the following findings should the nurse interpret this data as being?

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Naxlex Comprehensive Predictor Exams

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

A new mother who is bottle feeding says that she is happy to not have to use birth control for several months after having a baby.What should the nurse say in response?

Correct Answer is C

Explanation

In your patients who have sustained an episiotomy or a laceration, your nursing care would include? (Select all that apply.)

A nurse is collecting data from a client who is 1 day postpartum.Which of the following findings requires immediate intervention by the nurse?

A nurse is collecting data from a client who is postpartum.Which of the following findings should alert the nurse to the possibility of a postpartum complication?

A client who is 7 days postpartum calls the provider’s office and reports pain, swelling, and redness of her left calf.Besides the client seeing the provider, which of the following interventions should the nurse suggest?

A nurse is caring for a client who has unrelieved episiotomy pain 8 hr following delivery.Which of the following actions should the nurse take?

A nurse is preparing to administer potassium chloride 30 mEq PO daily. The amount available is potassium chloride 20 mEq/15mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) .

A nurse is caring for a client who is postpartum.Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?

A nurse is reinforcing discharge instructions for a client.At 4 weeks postpartum, the client should contact the provider for which of the following client findings?

During ambulation to the bathroom, a postpartum client experiences a gush of dark red blood that soon stops.
On data collection, a nurse finds the uterus to be firm, midline, and at the level of the umbilicus.
Which of the following findings should the nurse interpret this data as being?