The nurse is caring for a 2-day postpartum client who reports having to go to the bathroom to urinate numerous times last night and was sweating much more than usual.
What is the best response by the nurse to explain the symptoms the client is experiencing?
Some clients experience this type of complication after birth.I will notify your provider to obtain a prescription.
We will need to measure your intake and output.You may need to stay an additional day in the hospital.
After delivery, extra fluid will be released from the body by urinating and sweating.These are normal symptoms.
Decreased venous pressure in the lower extremities after delivery will cause these symptoms.
The Correct Answer is C
This postpartum scenario requires knowledge of physiological adaptations after childbirth. The nurse must understand how the body eliminates excess extracellular fluid through diuresis and diaphoresis to explain these normal findings and provide appropriate reassurance to the recovering client.
Choice A rationale
This response incorrectly labels normal physiological changes as complications. Referring to a provider for a prescription is unnecessary because diuresis and diaphoresis are expected processes for fluid volume normalization in the early postpartum period.
Choice B rationale
Extending hospital stays or implying serious illness for normal fluid loss causes unnecessary anxiety. While intake and output monitoring is standard, these symptoms do not indicate a pathological state requiring prolonged hospitalization or medical intervention.
Choice C rationale
Postpartum diuresis and diaphoresis occur as estrogen levels drop and blood volume returns to pre-pregnancy levels. This helps the body eliminate the extra 2 to 3 liters of extracellular fluid accumulated during a normal pregnancy.
Choice D rationale
While venous pressure changes after delivery, it does not directly cause the nocturnal sweating and frequent urination. These symptoms are primarily driven by hormonal shifts and the renal clearance of excess plasma volume gained during gestation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Menopause involves the cessation of ovarian function and decreased estrogen levels, leading to physiological changes. Knowledge of bone metabolism, cardiovascular risks, and proper symptom management is necessary to provide safe and effective health education for women in the postmenopausal period.
Choice A rationale
Hormone replacement therapy carries significant risks, including increased chances of blood clots, stroke, and breast cancer. It is not a risk-free treatment and must be individualized based on a thorough assessment of the client's medical history.
Choice B rationale
Postmenopausal bleeding is never considered normal and must be reported to a healthcare provider immediately. It can be an early clinical sign of endometrial hyperplasia or uterine malignancy, requiring diagnostic evaluation such as an ultrasound or biopsy.
Choice C rationale
Estrogen deficiency typically leads to thinning of the skin and decreased sebum production, resulting in dryness rather than oiliness. Acidic lotions may cause further irritation to the delicate, atrophic skin tissues common in women after menopause.
Choice D rationale
Decreased estrogen levels significantly accelerate bone resorption, increasing the risk of osteoporosis. Calcium supplements, along with vitamin D, help maintain bone density. Normal serum calcium levels generally range between 8.5 to 10.5 mg/dL in healthy adults.
Correct Answer is D
Explanation
Prenatal education for home births focuses on comfort measures and physiological labor support. Knowledge of thermoregulation and the physiological effects of temperature on labor progress is needed to identify unsafe or counterproductive non-pharmacological methods for pain management.
Choice A rationale
Support persons like doulas provide continuous emotional and physical assistance, which is scientifically proven to reduce the need for medical interventions. This recommendation is appropriate and reflects evidence-based practice for promoting a positive, natural labor experience at home.
Choice B rationale
Acupuncture and acupressure are recognized non-pharmacological techniques that can stimulate specific nerves to reduce labor pain and promote relaxation. Utilizing a certified professional for these services during pregnancy or labor is a safe and acceptable recommendation.
Choice C rationale
Hypno-birthing focuses on relaxation and breathing techniques to manage the perception of pain. Providing resources for these classes is a standard nursing action to help clients prepare for the psychological and physiological demands of a natural birth.
Choice D rationale
Ice baths are inappropriate for labor as they can cause significant vasoconstriction and maternal shivering, potentially reducing placental blood flow. While warm hydrotherapy is beneficial for relaxation, extreme cold is counterproductive and requires correction by the nurse educator..
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