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The nurse is preparing a care plan for her 12-hour postpartum patient which include prevention of thrombosis. During implementation, the nurse is expected to

Administer pain reliever round-the-clock to promote extended rest periods

Keep a bedside commode to prevent frequent trips to the bathroom

Offer the woman assistance to ambulate around the unit

Maintain strict bedrest until the woman has fully recovered

Answer and Explanation

The Correct Answer is C

A. Prolonged bed rest increases the risk of thrombus formation. Pain management should not encourage inactivity.

B. While preventing excessive exertion is important, encouraging movement is essential for preventing thrombosis.

C. Correct. Early ambulation promotes circulation and reduces the risk of deep vein thrombosis (DVT).

D. Strict bed rest increases the risk of thromboembolism and is not recommended postpartum unless medically indicated.

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Correct Answer is B

Explanation

A. "Supporting the uterus decreases the amount of pain." Incorrect. While proper support may reduce discomfort, the primary reason is structural support.

B. "This is necessary because the ligaments that hold the uterus are stretched." Correct. The uterus is enlarged postpartum, and the ligaments are weakened, making support necessary.

C. "This will decrease the severity of uterine bleeding." Not the primary reason, though proper fundal massage can aid in hemorrhage prevention.

D. "This will help with uterine involution." Incorrect. Uterine involution is driven by hormonal changes and contractions, not just support.

A. pulmonary embolism. B. mitral valve collapse. C. upper respiratory infection. D. thrombophlebitis.

Correct Answer is A

Explanation

A. Pulmonary embolism (PE): PE is a life-threatening condition that occurs when a blood clot travels to the lungs, often originating from a deep vein thrombosis (DVT). Postpartum clients are at increased risk due to hypercoagulability. Symptoms include sudden-onset dyspnea, chest pain, tachypnea, tachycardia, and hypoxia despite clear lung sounds. This warrants immediate intervention.

B. Mitral valve collapse: This is not a common postpartum complication and does not explain the client’s acute symptoms.

C. Upper respiratory infection: URIs present with cough, congestion, fever, and abnormal lung sounds, which this client does not have.

D. Thrombophlebitis: This refers to localized inflammation of a superficial vein, which may cause leg pain and swelling but does not typically result in respiratory distress.

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The nurse is preparing a care plan for her 12-hour postpartum patient which include prevention of thrombosis. During implementation, the nurse is expected to

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When discussing the need to support the lower uterine segment, which statement by the new nurse indicates understanding.

Correct Answer is B

Explanation

Correct Answer is A

Explanation

A lactation consultant is conducting a teaching session with a new mother about breastfeeding. Which of the client responses would indicate the need for further teaching?

Which of the following clients is most likely to complain of afterbirth pains during her postpartum period?

A 25 year-old woman gave birth to her second child 6 hours ago. She informs the nurse that she is bleeding more than with her previous birth experience. The initial nursing action is to:

On the fourth postpartum day, a client experiences breast engorgement. To relieve her discomfort, which of these nursing interventions is most effective to meet the expected outcome?

A breastfeeding mother expresses concern about whether her one-week-old newborn is getting enough milk. Which finding is a concrete indicator that the baby is getting enough milk?

A nurse is caring for a client who is 1 hr postpartum following a vaginal birth of a newborn weighing 9 lb 6 oz. (4252 g). The nurse should recognize that this client is at risk for which postpartum complication?

A nurse is caring for a client at 12 hours postpartum who has voided a total of 200 ml. Upon assessment the nurse notes that the bladder is distended. What is the priority intervention by the nurse?

The nurse is teaching prenatal clients about the benefits of skin to skin. Which statement made is correct?