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

Topical cream.

Use sitz baths.

Ice packs.

Give tocolytics.

Nothing.

Answer and Explanation

Correct Answer : A,B,C

Choice A rationale

Topical creams can help soothe and promote healing of the episiotomy or laceration site.

Choice B rationale

Sitz baths are effective in reducing pain and promoting healing by increasing blood flow to the perineal area.

Choice C rationale

Ice packs help reduce swelling and provide pain relief in the initial 24 hours post-delivery.

Choice D rationale

Tocolytics are not indicated for episiotomy or laceration care as they are used to suppress preterm labor.

Choice E rationale

Doing nothing is not appropriate as it does not address the pain or promote healing.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Choice A rationale

Sore nipples with cracks and fissures can indicate an infection or improper breastfeeding technique, requiring medical attention.

Choice B rationale

Scant nonodorous white vaginal discharge is normal postpartum and does not require contacting the provider.

Choice C rationale

Uterine cramping during breastfeeding is a normal physiological response due to oxytocin release.

Choice D rationale

Decreased response with sexual activity can be normal postpartum and does not necessarily require immediate medical attention.

A. Have the client ambulate frequently in the hallway. B. Apply warm, moist soaks to the client’s lower legs. C. Keep the client on bed rest. D. Place pillows under the client’s knees while she is resting in bed.

Correct Answer is A

Explanation

Choice A rationale

Ambulation is crucial in preventing thrombophlebitis as it promotes blood circulation and prevents blood stasis, which can lead to clot formation.

Choice B rationale

Warm, moist soaks can provide comfort but do not significantly contribute to preventing thrombophlebitis.

Choice C rationale

Bed rest increases the risk of thrombophlebitis due to decreased circulation and blood stasis.

Choice D rationale

Placing pillows under the knees can impede blood flow and increase the risk of clot formation.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

A nurse is caring for a client who is 1 day postpartum following a cesarean birth.To prevent thrombophlebitis, the nurse should contribute which of the following interventions to the client’s plan of care?

Correct Answer is A

Explanation

A nurse is collecting data from a client who is 12 hours postpartum following a spontaneous vaginal delivery.The nurse should expect to find the uterine fundus at which of the following positions on the client’s abdomen?

After a client has a C-section she needs to get up and take short walks to prevent what?

A nurse is collecting data from a client who is 3 days postpartum and is breastfeeding.Her fundus is three fingerbreadths below the umbilicus, and her lochia rubra is moderate.Her breasts feel hard and warm.Which of the following recommendations should the nurse give the client?

A nurse is caring for a client who is postpartum and asks, “When will my breast milk come in?” Which of the following responses should the nurse make?

A nurse is reinforcing teaching with a client who is breastfeeding and has mastitis.Which of the following responses should the nurse make?

A nurse is assisting with the care of a postpartum client who is exhibiting tearfulness, insomnia, lack of appetite, and a feeling of letdown.Which of the following conditions are associated with these manifestations?

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?