The nurse is providing postpartum care to a patient 24 hours after a vaginal delivery. Which action does the nurse perform prior to assessing the patient’s uterus?

Place the patient on the left side.

Assess the passage of lochia.

Ask the patient to void.

Administer a dose of oxytocin

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. Ask the patient to void. This is because a full bladder can displace the uterus and interfere with its contraction, which can lead to postpartum hemorrhage The nurse should assess the patient’s uterus after ensuring that the bladder is empty.

Choice A is wrong because placing the patient on the left side does not affect the uterus assessment. It may help with blood circulation and oxygenation, but it is not necessary before checking the uterus.

Choice B is wrong because assessing the passage of lochia is part of the uterus assessment, not a prerequisite. Lochia is the vaginal discharge after giving birth, containing blood, mucus, and uterine tissue It has three stages: lochia rubra (red), lochia serosa (pinkish brown), and lochia alba (yellowish white)

Choice D is wrong because administering a dose of oxytocin is not required before assessing the uterus.

Oxytocin is a hormone that stimulates uterine contractions and reduces bleeding. It may be given during or after labor to prevent or treat postpartum hemorrhage, but it is not a routine procedure.

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Correct Answer is D

Explanation

Formula feeding increases risk for infection in infants.This is because breast milk contains antibodies and other germ-fighting factors that help protect the baby from infections, such as ear infections, diarrhea, respiratory infections and meningitis.Breast milk also provides ideal nutrition and is easily digested by the baby.

A. Tell the client that she should focus on the positive outcome of having a healthy baby. B. Encourage the client to talk about her feelings and listen empathetically. C. Explain to the client that her expectations were unrealistic and unachievable. D. Suggest that the client seek professional counseling to cope with her emotions.

Correct Answer is B

Explanation

The correct answer is choice B. Encourage the client to talk about her feelings and listen empathetically.

This action shows respect for the client’s emotions and helps her process her experience.

It also allows the nurse to provide support and reassurance.

Choice A is wrong because it dismisses the client’s feelings and implies that she should not be upset.

This can make the client feel guilty or invalidated.

Choice C is wrong because it blames the client for having unrealistic and unachievable expectations.

This can make the client feel ashamed or defensive.

Choice D is wrong because it suggests that the client needs professional counselling to cope with her emotions.

This can make the client feel stigmatized or abnormal.

Normal ranges for postpartum emotions vary depending on the individual and the circumstances.

However, some signs of postpartum depression or post-traumatic stress disorder include persistent sadness, anxiety, anger, guilt, flashbacks, nightmares, insomnia, loss of interest, difficulty bonding with the baby, or thoughts of harming oneself or the baby.

These symptoms should be reported to a healthcare provider as soon as possible.

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The nurse is providing postpartum care to a patient 24 hours after a vaginal delivery. Which action does the nurse perform prior to assessing the patient’s uterus?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a postpartum client who has decided not to breastfeed her infant and has chosen formula feeding instead. The nurse should instruct the client that:

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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