The nurse places a warmed blanket on the scale when weighing a newborn to minimize heat loss via which mechanism?

convection

conduction

radiation

evaporation

Answer and Explanation

The Correct Answer is B

A. Convection is the loss of heat due to air or fluid movement around the body. While keeping the newborn warm in a draft-free area can help with this, the blanket on the scale primarily addresses heat loss through contact with the cold surface.
B. Conduction occurs when heat is transferred from the baby’s body to a cooler surface that it comes into direct contact with, like the cold scale. By placing a warmed blanket on the scale, the nurse minimizes heat loss due to conduction, ensuring the baby stays warm.
C. Radiation involves heat transfer to cooler objects nearby, but a warmed blanket on the scale does not directly address heat loss through radiation.
D. Evaporation occurs when moisture on the skin evaporates, taking heat away. A warmed blanket would not primarily address evaporation; it’s meant to prevent conduction heat loss.

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Correct Answer is D

Explanation

A. Ferrous sulfate is typically prescribed to prevent or treat iron deficiency anemia, which may be needed postpartum if there was significant blood loss during delivery, but it is not related to the care of a perineal laceration.
B. Methylergonovine is a medication used to prevent or treat postpartum hemorrhage by promoting uterine contraction. While it is important for hemorrhage management, it is not used for perineal laceration care.
C. Bromocriptine is used to suppress lactation in clients who are not breastfeeding, but it is not relevant to a fourth-degree laceration.
D. Docusate is a stool softener, which is often prescribed after a fourth-degree perineal laceration. The client needs to avoid straining during bowel movements, as it could put strain on the perineal area and hinder healing. Docusate helps prevent constipation and reduces the risk of further injury to the perineum.

A. "Let me check your vaginal discharge just to make sure everything is fine." B. "Your body is responding to the events of labor, just like after a tough workout." C. "Your uterus is still shrinking in size; that's why you're feeling this pain." D. The baby's sucking releases a hormone that causes the uterus to contract."

Correct Answer is D

Explanation

A. "Let me check your vaginal discharge just to make sure everything is fine." While it's important to monitor for abnormal discharge (such as signs of infection or retained placental tissue), this response does not address the cause of the contractions, which are a normal postpartum occurrence.

B. "Your body is responding to the events of labor, just like after a tough workout." This statement doesn't accurately explain the specific cause of the contractions, which are related to hormonal changes after childbirth rather than residual effects of labor itself.

C. "Your uterus is still shrinking in size; that's why you're feeling this pain." While it’s true that the uterus is shrinking (involution), the primary reason for the contraction-like pain is the release of oxytocin during breastfeeding, not simply the shrinking of the uterus.

D. "The baby's sucking releases a hormone that causes the uterus to contract." This is the correct answer. When a newborn suckles at the breast, it stimulates the release of oxytocin, a hormone that causes the uterus to contract. These contractions are known as "afterpains" and are more common in women who have had multiple pregnancies. They help the uterus return to its normal size after delivery.

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The nurse places a warmed blanket on the scale when weighing a newborn to minimize heat loss via which mechanism?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A postpartum client has a fourth-degree perineal laceration. The nurse would expect which medication to be prescribed?

Correct Answer is D

Explanation

A client who is breastfeeding her newborn tells the nurse, "I notice that when I feed him, I feel fairly strong contraction-like pain. Labor is over. Why am I having contractions now?" Which response by the nurse would be most appropriate?

Correct Answer is D

Explanation

A woman with placenta previa is being treated with expectant management. The woman and fetus are stable. The nurse is assessing the woman for possible discharge home. Which statement by the woman would suggest to the nurse that home care might be inappropriate?

A 26-week pregnant client has a Glucose challenge test (GCT) with 50 g of glucola, her results are 150mg/dl. What would be expected next step when caring for this client?

A client who has just given birth to a healthy newborn required an episiotomy. Which action would the nurse implement immediately after birth to decrease the client's pain from the procedure?

The nurse is caring for a client, which symptom indicates severity of pregnancy- induced hypertension and signs of HELLP syndrome?

A nurse is conducting an assessment of a woman who has experienced PROM. Which amniotic fluid finding would lead the nurse to suspect infection as the cause of a client's PROM?

The new mother asks the nurse about the presence of a small blood-tinged area on her daughter's diaper. Which response by the nurse would be most accurate?

A primipara client gave birth vaginally to a healthy newborn girl 48 hours ago. The nurse palpates the client's fundus and documents which finding as normal?

A nurse is teaching a postpartum client how to do muscle-clenching (Kegel) exercises for the perineum. The client asks the nurse, "Why do I need to do these exercises?" Which reason would the nurse most likely incorporate into the response?