What action should a nurse take when caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client’s perineal pad, with the fundus midline and firm at the umbilicus?
Notify the client’s provider.
Document the findings and continue to monitor the client.
Increase the frequency of fundal massage.
Encourage the client to empty her bladder.
The Correct Answer is B
-
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A. Drink 48 to 64 ounces of water daily.
Choice A rationale:
Drinking 48 to 64 ounces of water daily is recommended to help maintain hydration and support overall health during pregnancy, especially for those with mild preeclampsia.
Choice B rationale:
While protein intake is important, the recommended amount for pregnant women is generally higher than 40 to 90 grams per day. The exact amount can vary based on individual needs, but typically, pregnant women are advised to consume around 71 grams of protein daily.
Choice C rationale:
Limiting intake of whole grains, raw fruits, and vegetables is not recommended. These foods are rich in essential nutrients and fiber, which are beneficial for both the mother and the baby.
Choice D rationale:
Avoiding salting of foods during cooking can help manage blood pressure, but it is not the primary focus of dietary recommendations for preeclampsia. Reducing overall sodium intake is more important.
Correct Answer is D
Explanation
Choice A rationale
Fetal hyperinsulinemia is a condition where the fetus produces an excess amount of insulin, and it is more commonly associated with macrosomia (large for gestational age) rather than being small for gestational age.
Choice B rationale
Preterm delivery can result in a baby being small for birth weight, but it does not cause a baby to be small for gestational age. Small for gestational age means the baby’s weight is less than the 10th percentile for their gestational age.
Choice C rationale
Perinatal asphyxia, a lack of oxygen before, during, or just after birth, does not cause a baby to be small for gestational age. It can cause other complications, such as organ damage.
Choice D rationale
Placental inefficiency, where the placenta does not work as well as it should, can cause a baby to be small for gestational age. This is because the baby may not receive enough oxygen and nutrients from the mother.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.