On the first postpartum day, the nurse examines a new mother’s breasts.
What condition is the nurse most likely to find?
Soft, with no change from before delivery.
Filling and secreting colostrum.
Slightly firm with an immediate let-down response.
Firm, larger, and very tender to touch.
Firm, larger, and very tender to touch.
The Correct Answer is B
Choice A rationale
Immediately after delivery, the breasts of a new mother are not likely to remain the same as before delivery. Hormonal changes during pregnancy prepare the breasts for lactation, and these changes do not typically revert immediately after delivery.
Choice B rationale
On the first postpartum day, the breasts of a new mother are most likely to be filling and secreting colostrum. Colostrum is the first form of milk produced by the mammary glands, and it usually starts to be produced during pregnancy and continues during the early days of breastfeeding.
Choice C rationale
An immediate let-down response is not typically observed on the first postpartum day. The letdown reflex, which releases milk from the breast, usually becomes more pronounced after the first few days of breastfeeding.
Choice D rationale
While the breasts may become larger due to milk production, they are not typically very tender to touch on the first postpartum day. Tenderness may occur later, especially if complications like engorgement or mastitis develop.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While contact precautions can be important in managing some infections, they are not the primary reason for hospitalization in the case of PID891011.
Choice B rationale
Hospitalization for PID is often recommended for the administration of a supervised parenteral antibiotic protocol. This allows for the direct administration of antibiotics into the bloodstream, which can be more effective in severe cases.
Choice C rationale
The Jarisch-Herxheimer reaction is a reaction to endotoxin-like products released by the death of harmful microorganisms within the body during antibiotic treatment. It is not a primary reason for hospitalization in the treatment of PID891011.
Choice D rationale
While the collection of serial anaerobic cultures of vaginal discharge can be part of the diagnostic process for PID, it is not the primary reason for hospitalization.
Correct Answer is ["A","B","C"]
Explanation
Choice A rationale
Acetaminophen is a common medication that can be administered for pain relief and fever reduction. It is often used in a variety of clinical settings, including after the placement of an IV line.
Choice B rationale
Morphine is a strong opioid medication used to treat severe pain. It may be ordered after the placement of an IV line, especially if the patient is experiencing significant discomfort.
Choice C rationale
Aspirin is a medication that can be used for pain relief, fever reduction, and as an antiinflammatory. It may be ordered in a variety of clinical scenarios, including after the placement of an IV line.
Choice D rationale
Albuterol is a bronchodilator used to treat or prevent bronchospasm in people with reversible obstructive airway disease. It is not typically administered following the placement of a 5% dextrose intravenous line unless the patient has a pre-existing respiratory condition.
Choice E rationale
Racemic epinephrine is used to treat croup and asthma attacks. It is not typically administered following the placement of a 5% dextrose intravenous line unless the patient has a pre-existing respiratory condition.
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