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. 0.75 mL would provide only 1.5 mg, which is half the prescribed dose
B. 15 mL would provide 30 mg, which is ten times the prescribed dose and could be dangerously toxic
C. 1.5 mL is correct and delivers exactly 3 mg of Stadol, matching the provider's order. To calculate the correct volume to administer, use the formula: Dose to give= ordered dose/concentration= 3/2= 1.5ml
D. 0.9 mL would give 1.8 mg, which is below the ordered dose.

A. cephalhematoma. B. molding C. microcephaly D. caput succedaneum

Correct Answer is D

Explanation

A. Cephalhematoma refers to a collection of blood between the baby's skull and the periosteum (the membrane covering the bone), which does not cross the suture lines. It typically occurs after a traumatic delivery, but it is not diffuse edema like caput succedaneum.

B. Molding refers to the shaping of the baby’s head to fit through the birth canal during delivery. It involves temporary changes to the skull bones (such as overlapping sutures) but does not involve edema or soft tissue swelling.

C. Microcephaly is a condition where a newborn's head is abnormally small, usually due to developmental issues, and it has nothing to do with edema or swelling of the soft tissues.

D. Caput succedaneum is the correct term for diffuse edema of the newborn’s scalp that crosses the suture lines. It is caused by the pressure during delivery as the baby's head moves through the birth canal, and it typically resolves within a few days after birth.

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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:

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client in labor who has refused epidural anesthesia. An order was placed for Stadol 3mg IV Q4h PRN pain. The drug is supplied 2 mg per ml. How much of the medication should the nurse give?

Correct Answer is C

Explanation

While performing a physical assessment of a newborn boy, the nurse notes diffuse edema of the soft tissues of his scalp that crosses suture lines. The nurse documents this finding as:

Correct Answer is D

Explanation

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