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 C

Explanation

The correct answer is C. Spraying warm water over the perineum after each voiding or bowel movement.This action would help prevent infection of the perineal area by keeping it clean and reducing the risk of bacterial contamination.

A is wrong because ice packs can only help reduce swelling and pain, but not prevent infection.

B is wrong because changing the pad from back to front can introduce bacteria from the rectum to the vagina and perineum, increasing the risk of infection. The correct way is to change the pad from front to back.

D is wrong because an inflatable ring or pillow can increase blood flow to the perineal area and delay healing, which can increase the risk of infection.

A firm surface is better for sitting after delivery.

Some other preventive measures for postpartum infections include washing hands before touching the perineal area, using only maxi pads and not tampons for postpartum bleeding, taking preventive antibiotics if prescribed, and contacting a doctor if symptoms of infection appear.

A. Postpartum blues B. Postpartum depression C. Postpartum psychosis D. Postpartum adaptation

Correct Answer is D

Explanation

The correct answer is choice D. Postpartum adaptation.

This is the process of adjusting to the physical, emotional, and social changes that occur after childbirth.The woman in the question shows signs of positive mood, confidence, and adequate support, which are indicators of successful postpartum adaptation.

Choice A is wrong because postpartum blues are characterized by mild depressive symptoms, such as mood swings, crying spells, irritability, and anxiety, that usually occur within the first few days after delivery and resolve within two weeks.

Choice B is wrong because postpartum depression is a more severe and persistent form of depression that affects 10-15% of women after childbirth.

It can cause symptoms such as sadness, hopelessness, guilt, loss of interest, insomnia, appetite changes, and suicidal thoughts.It usually requires treatment with psychotherapy and/or medication.

Choice C is wrong because postpartum psychosis is a rare but serious psychiatric emergency that affects 1-2 in every 1000 women after childbirth.

It can cause symptoms such as delusions, hallucinations, paranoia, confusion, agitation, and attempts to harm oneself or the baby.It usually requires hospitalization and treatment with mood stabilizers and antipsychotics.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a postpartum client who had a vaginal delivery with an episiotomy. Which action would help prevent infection of the perineal area?

Correct Answer is C

Explanation

A nurse is assessing a woman who gave birth four days ago. The nurse notes that the woman has a positive mood, expresses confidence in her ability to care for her infant, and reports adequate support from her partner and family. The nurse identifies these findings as indicators of:

Correct Answer is D

Explanation

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:

A client is concerned about the risk factors for pre-term labor. Which of the following factors should the nurse include in the discussion?

A nurse is caring for a postpartum client who had a difficult labor and delivery. The client expresses frustration and disappointment with her birth experience. Which of the following actions should the nurse take?

What is the most common cause of subinvolution?

A nurse is evaluating the effectiveness of antenatal education on a group of expectant mothers. Which of the following outcomes would indicate a positive effect of the education?

A nurse is caring for a postpartum client who has been diagnosed with postpartum depression (PPD). Which of the following interventions should be included in her plan of care?

A nurse is reviewing the laboratory results of a postpartum client who had a hemorrhage due to uterine atony. Which finding would be expected in this client?

A nurse is planning care for a client who has postpartum psychosis and is experiencing hallucinations. Which of the following interventions should the nurse include in the plan?