The nurse is reviewing discharge instructions with the postpartum client who had a cesarean section 4 days ago and will include which of the following warning signs to report once she is home?

Red, tender area on breast.

Temperature of 100.8°F.

Burning on urination.

Increased lochia rubra.

Answer and Explanation

Correct Answer : A,B,C,D

Choice A rationale

A red, tender area on the breast could indicate mastitis, an infection of the breast tissue. This requires prompt medical attention to prevent complications and provide appropriate treatment, often involving antibiotics.

Choice B rationale

A temperature of 100.8°F is considered a fever and could indicate an infection. Postpartum clients are at risk of infections, including endometritis, and should report any fever to their healthcare provider for further evaluation.

Choice C rationale

Burning on urination could indicate a urinary tract infection (UTI). UTIs are common postpartum due to catheter use and trauma during delivery. This symptom should be reported for evaluation and treatment if necessary.

Choice D rationale

Increased lochia rubra can indicate postpartum hemorrhage or retained placental fragments. Any significant change in bleeding pattern should be reported to ensure timely management and prevent serious complications.

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Correct Answer is {"A":{"answers":"A,C"},"B":{"answers":"A,C"},"C":{"answers":"A,C"},"D":{"answers":"B"},"E":{"answers":"C"}}

Explanation

Jitteriness: This can be a sign of hypoglycemia in a newborn, and it may also be seen in Neonatal Abstinence Syndrome (NAS) due to withdrawal symptoms.
Lethargy: Lethargy is common in hypoglycemia (due to low energy reserves) and can also be seen in Neonatal Abstinence Syndrome due to withdrawal effects.
Poor Feeding: Hypoglycemia may cause poor feeding due to the lack of energy, and Neonatal Abstinence Syndrome can cause feeding difficulties because of withdrawal symptoms.
Jaundice: Jaundice is a hallmark sign of Neonatal Jaundice, typically due to elevated bilirubin levels.
Loose Stool: Loose stool can be a sign of Neonatal Abstinence Syndrome, as gastrointestinal disturbances are common in withdrawal. It is not typically associated with hypoglycemia or neonatal jaundice.

A. Respiratory wheezing. B. Hyperglycemia. C. Tremors. D. Intercostal retractions.

Correct Answer is D

Explanation

Choice B rationale: Hyperglycemia is related to elevated blood glucose levels and is not a symptom of respiratory distress syndrome (RDS) in infants.

Choice C rationale: Tremors can be caused by various conditions, including metabolic imbalances or drug withdrawal. They are not specific to respiratory distress syndrome (RDS).

Choice D rationale: Intercostal retractions are a sign of increased work of breathing and respiratory distress. In infants with respiratory distress syndrome (RDS), the underdeveloped lungs can lead to difficulty in breathing, causing the muscles between the ribs to pull inwards during inspiration. This is a common symptom of RDS.

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The nurse is reviewing discharge instructions with the postpartum client who had a cesarean section 4 days ago and will include which of the following warning signs to report once she is home?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn who is 56 hours old in the neonatal unit. Below are the exhibits. Exhibits A nurse reviews the assessment findings and determines the findings are consistent with which of the following complications? Each finding may support more than one disease process.

Correct Answer is {"A":{"answers":"A,C"},"B":{"answers":"A,C"},"C":{"answers":"A,C"},"D":{"answers":"B"},"E":{"answers":"C"}}

Explanation

The nurse recognizes that a symptom of respiratory distress syndrome (RDS) in an infant is:

Correct Answer is D

Explanation

A certified nursing assistant (CN

The nurse present at the delivery is reporting to the nurse who will be caring for the infant who had thick meconium in the amniotic fluid.

The nurse is providing discharge teaching about the possibility of mastitis to a mother who is breastfeeding.Which statement by the client indicates a need for MORE teaching?

A newly admitted postpartum client who delivered vaginally has saturated 6 perineal pads with bright red blood and many small clots during a one-hour period.The nurse suspects a post-partum hemorrhage.The nurse knows that a risk factor for post-partum hemorrhage is:

The client has a physician's order for Methylergonovine (Methergine) 0.2 mg by mouth every 6 hours for 24 hours. The RN knows the reason for this order is to assist in controlling postpartum bleeding. What is the total amount the patient will receive in mg in a 24-hour period?

A neonatologist prescribes gentamicin for a 2-day-old, septic preterm infant who weighs 4300 grams. The dosage of gentamicin for babies less than 1 week of age is 2 mg/kg q 12 hours. The dose on hand is 20 mg per 1 ml. The nurse calculates the safe dose of this medication to be. ml. in 12 hours.

A nurse is caring for an infant born at 40 weeks of gestation.Which of the following findings should the nurse expect?

The nurse develops a teaching plan for a 24-hour vaginal postpartum client with a firm fundus, scant lochia, and a 4th degree laceration.Her hemoglobin level is 10.0 gm/dl, and hematocrit is 30%. The mother is breastfeeding.Which medication would the nurse expect to be contraindicated?