When caring for a mother who has had a cesarean birth, the nurse would expect the client's lochia to be:

saturated with clots and mucus

about the same as after a vaginal birth.

greater than after a vaginal birth.

less than after a vaginal birth.

Answer and Explanation

The Correct Answer is D

A. Saturated with clots and mucus is not typical of lochia in either vaginal or cesarean births unless there is excessive bleeding or other complications. While clots are normal in the early days postpartum, lochia should not be saturated with them in a healthy postpartum recovery.

B. About the same as after a vaginal birth is incorrect because lochia after a cesarean birth tends to be less due to the surgical procedure. The uterus does not expel as much tissue or blood from the vaginal canal as in a vaginal delivery.

C. Greater than after a vaginal birth is incorrect. Although there is a possibility of more bleeding initially from the incision site in a cesarean birth, the amount of lochia is typically less due to the nature of the surgical delivery.

D. Less than after a vaginal birth is correct. After a cesarean birth, the lochia typically is less because the surgical delivery method does not involve the same physical exertion or vaginal tearing that occurs with a vaginal birth. Additionally, the surgical incision prevents some of the natural expulsion of blood and tissue.

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Correct Answer is C

Explanation

A. Lochia is the normal postpartum vaginal discharge of blood and tissue, and its duration or volume is not affected by Kegel exercises.
B. Uterine involution ,the shrinking of the uterus to its pre-pregnancy size ,is a natural physiological process and is not influenced by Kegel exercises.
C. Kegel exercises specifically target the pelvic floor muscles, which may be weakened during pregnancy and childbirth. These exercises help strengthen the muscles, support pelvic organs, and prevent issues such as urinary incontinence.
D. While improved muscle tone may eventually support healing, these exercises are not a direct method for pain relief.

A. convection B. evaporation C. radiation D. conduction

Correct Answer is B

Explanation

A. Convection refers to the transfer of heat through air or water, such as when cool air circulates around the baby. While it can contribute to heat loss, drying the baby and changing wet linens specifically addresses evaporation.
B. Evaporation occurs when the baby's skin is wet (such as after birth or during a bath) and heat is lost as the moisture evaporates from the skin. Drying the neonate thoroughly and changing wet linens is aimed at preventing this form of heat loss.
C. Radiation is the transfer of heat from the baby to nearby cooler objects or surfaces (without direct contact), but drying and changing wet linens does not directly address this form of heat loss.
D. Conduction is the transfer of heat through direct contact with a cooler surface, such as a cold surface or metal. It would be a concern if the baby was placed on a cold surface, but drying the baby helps prevent heat loss via evaporation, not conduction

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When caring for a mother who has had a cesarean birth, the nurse would expect the client's lochia to be:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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