The postpartum woman is experiencing heavy lochia and has required frequent fundal massage over the past 24- hour period.
Which of the following factors may have contributed to the uterine atony?

Premature rupture of membranes

Delivery of an intact placenta within 30 minutes of the birth of the infant

Multigravida status

History of sexually transmitted infections

Answer and Explanation

The Correct Answer is C

Choice A rationale
Premature rupture of membranes is a condition that can occur during pregnancy, but it is not directly linked to uterine atony or heavy lochia after delivery.
Choice B rationale
Delivery of an intact placenta within 30 minutes of the birth of the infant is a normal occurrence and would not contribute to uterine atony or heavy lochia.
Choice C rationale
Multigravida status, or having been pregnant more than once, can contribute to uterine atony. The uterus may not contract effectively after multiple pregnancies, leading to heavy lochia.
Choice D rationale
While a history of sexually transmitted infections can impact overall reproductive health, it is not directly linked to uterine atony or heavy lochia after delivery.

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Correct Answer is B

Explanation

Choice A rationale
Giving an infant with a positive PKU test a high protein diet is not recommended. This is because phenylalanine, which cannot be broken down by individuals with PKU, is found in high-protein foods.
Choice B rationale
Parents of infants with a positive PKU test should provide the infant with a diet containing small amounts of phenylalanine. This is because while phenylalanine is harmful in large amounts to individuals with PKU, it is still an essential amino acid that the body needs in small amounts.
Choice C rationale
Early introduction of cow’s milk is not necessary before 1 year of age for infants with a positive PKU test. In fact, cow’s milk is high in phenylalanine and should be avoided.
Choice D rationale
Following up with a pediatric cardiologist is not specifically related to the dietary management of PKU. While regular medical supervision is important for children with PKU, it does not necessarily have to be with a cardiologist.

A. I need to wear gloves when doing any gardening. B. Any blood pressures need to be taken in my right arm. C. I should wear clothing with elastic sleeves. D. Blood specimens should be drawn from my right arm.

Correct Answer is C

Explanation

Choice A rationale
Wearing gloves while gardening is a recommended practice after a mastectomy, especially on the side where lymph nodes have been removed. This is to protect the skin and reduce the risk of infection, which could trigger lymphedema.
Choice B rationale
It is indeed recommended that blood pressures be taken in the unaffected arm after a mastectomy. This is because the pressure from the cuff can obstruct lymph flow and potentially trigger lymphedema in the arm where lymph nodes have been removed. Choice C rationale
Wearing clothing with elastic sleeves is not recommended after a mastectomy. Elastic bands can restrict lymph flow and increase the risk of lymphedema.
Choice D rationale
Similar to blood pressure measurements, it is recommended that blood specimens be drawn from the unaffected arm after a mastectomy. This is to avoid injury to the lymphatic system in the arm where lymph nodes have been removed, which could trigger lymphedema.

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The postpartum woman is experiencing heavy lochia and has required frequent fundal massage over the past 24- hour period. Which of the following factors may have contributed to the uterine atony?

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Naxlex Comprehensive Predictor Exams

What should the parents of infants with a positive phenylketonuria (PKU) test be instructed to do?

Correct Answer is B

Explanation

The nurse is developing the discharge plan for a woman who has had a left-sided radical mastectomy. The nurse is including instructions for ways to minimize lymphedema. Which statement by the client indicates the need for additional instruction?

Correct Answer is C

Explanation

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The postpartum woman is experiencing heavy lochia and has required frequent fundal massage over the past 24- hour period.
Which of the following factors may have contributed to the uterine atony?