Exhibits

For each assessment finding, click to indicate whether findings from this client's assessment are generally associated with mastitis, endometritis, or could be a sign of both conditions. Each row must have only one response option selected.

Pulse of 105 beats/minute

Feeling chilled, achy, and fatigued

Baby fed pumped breast milk

Pain rating of 4 on a 0 to 10 scale

Foul-smelling lochia rubra at 2 Weeks postpartum

Temperature of 101.2° F (38.4°C)

Answer and Explanation

The Correct Answer is {"A":{"answers":"C"},"B":{"answers":"C"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"C"}}

Pulse of 105 beats/minute – Both mastitis and endometritis
Tachycardia (heart rate >100 bpm) is a systemic response to infection and inflammation, which can occur in both mastitis and endometritis. In mastitis, infection in the breast tissue triggers a systemic inflammatory response, while in endometritis, uterine infection can cause sepsis-related tachycardia.
Feeling chilled, achy, and fatigued – Both mastitis and endometritis
Both conditions can cause systemic flu-like symptoms, including chills, body aches, and fatigue, as the body mounts an immune response. Mastitis leads to generalized malaise due to localized infection and inflammation in the breast, while endometritis causes uterine infection, which can spread if untreated.
Baby fed pumped breast milk – Mastitis
Mastitis often develops due to milk stasis when the breasts are not fully emptied. The client was away from the baby for several hours while feeding pumped milk, which may have led to incomplete drainage of the breast, increasing the risk of bacterial overgrowth and mastitis.
Pain rating of 4 on a 0 to 10 scale – Mastitis
Pain in mastitis is usually localized to the affected breast, presenting as a red, firm, warm area. The uterine pain in endometritis is generally more cramp-like and associated with uterine tenderness, rather than a focal area of pain like in mastitis.
Foul-smelling lochia rubra at 2 weeks postpartum – Endometritis
Lochia should transition from rubra (red) to serosa (pink-brown) to alba (white/yellow) within 2 weeks postpartum. Foul-smelling, persistent lochia rubra is a hallmark sign of endometritis, indicating bacterial overgrowth in the uterus.
Temperature of 101.2° F (38.4°C) – Both mastitis and endometritis
Fever is a key symptom of both mastitis and endometritis as the body responds to infection. Mastitis causes localized breast infection with systemic symptoms, while endometritis results in uterine infection and systemic inflammatory response.

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Correct Answer is B

Explanation

A. Weight gain. While albumin administration increases intravascular volume, leading to temporary fluid retention, the goal in nephrotic syndrome is to shift fluid from the interstitial spaces back into circulation. The expected outcome is a reduction in edema, not an overall weight gain. A persistent increase in weight could indicate continued fluid retention rather than treatment effectiveness.
B. Reduction of edema. Nephrotic syndrome is characterized by hypoalbuminemia, which causes fluid to leak from the blood vessels into the tissues, leading to generalized edema. Albumin 25% IV works by increasing oncotic pressure, drawing fluid back into the bloodstream. Once in circulation, excess fluid is excreted by the kidneys, resulting in decreased swelling, especially in the face, abdomen, and lower extremities.
C. Improved caloric intake. Nephrotic syndrome affects fluid balance but does not typically lead to reduced appetite unless complications arise. While improved well-being may lead to better nutritional intake, this is not the primary expected outcome of albumin therapy.
D. Reduction of fever. Fever is not a direct symptom of nephrotic syndrome, though it may occur with infections due to immunosuppression from protein loss. Albumin therapy does not have antipyretic properties, so a reduction in fever would not indicate the medication’s effectiveness in managing nephrotic syndrome.

A. Return of the uterus to prepregnancy size. B. Expulsion of the placenta. C. Activation of the let down reflex. D. Stimulation of uterine contractions.

Correct Answer is D

Explanation

A. Return of the uterus to prepregnancy size. While oxytocin helps contract the uterus, the complete process of involution (uterus returning to prepregnancy size) takes about 6 weeks postpartum. Oxytocin primarily aids in immediate postpartum contraction to reduce bleeding.
B. Expulsion of the placenta. Oxytocin is typically administered after placental delivery to prevent postpartum hemorrhage. If the placenta does not expel naturally, manual removal may be needed. Oxytocin is more effective in promoting uterine tone rather than actively expelling the placenta.
C. Activation of the let-down reflex. Oxytocin plays a role in milk ejection during breastfeeding, but when administered intravenously postpartum, its primary purpose is to stimulate uterine contractions. Natural oxytocin release from breastfeeding supports the let-down reflex, but this is not the main goal of IV oxytocin administration.
D. Stimulation of uterine contractions. IV oxytocin is given postpartum to promote uterine contractions, which help reduce postpartum bleeding by compressing uterine blood vessels. This action is critical in preventing postpartum hemorrhage and ensuring uterine firmness.

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Exhibits For each assessment finding, click to indicate whether findings from this client's assessment are generally associated with mastitis, endometritis, or could be a sign of both conditions. Each row must have only one response option selected.

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Naxlex Comprehensive Predictor Exams

Albumin 25% IV is prescribed for a child with nephrotic syndrome. Which assessment finding indicates to the nurse that the medication is having the desired effect?

Correct Answer is B

Explanation

The nurse is preparing to administer oxytocin IV to a client after the delivery of her infant. Which outcome should the nurse expect from the administration of oxytocin?

Correct Answer is D

Explanation

A nurse is speaking with a client who is addicted to heroin and who just learned that she is pregnant. The client states, "I just started taking methadone. Is there anything else I can do to make sure my baby is healthy?" Which information should the nurse provide?

Exhibits Choose the most likely options for the information missing from the statement by selecting from the list of options provided. The nurse knows that the mastitis in this scenario is most likely caused bydropdown, as evidenced bydropdown

Exhibits For each assessment finding, click to indicate whether findings from this client's assessment are generally associated with mastitis, endometritis, or could be a sign of both conditions. Each row must have only one response option selected.

A multiparous client with active herpes lesions is admitted to the unit with spontaneous rupture of membranes. Which action should the nurse take?

Exhibits Based on the FLACC score and the client's developmental level, mark which nurse actions would be appropriate, and which would not be appropriate. Each row must have one option selected.

Exhibits The nurse reviews the client's history and physical, the nurses' notes, and the flow sheet. Select the findings that will help the nurse determine what is causing the client's symptoms.

The healthcare provider prescribes magnesium sulfate 6 grams IV to be infused over 20 minutes for client with preterm labor. The IV bag contains "Magnesium sulfate 20 grams in dextrose 5% in water 500 mL." How many mL/hour should the nurse set the infusion pump? (Enter numerical value only.)

Exhibits

For each assessment finding, click to indicate whether findings from this client's assessment are generally associated with mastitis, endometritis, or could be a sign of both conditions. Each row must have only one response option selected.