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 D

Explanation

A. Increase in dietary protein is not the appropriate response based on the results of the glucose challenge test. Protein intake may be adjusted for other health reasons but is not typically a first-line intervention after an abnormal GCT result.

B. Schedule a repeat Glucose Challenge Test (GCT) is not typically the next step. If the initial GCT is abnormal (usually a result >130-140 mg/dL), a repeat test is not recommended. Instead, a 3-hour glucose tolerance test (GTT) is used to confirm or rule out gestational diabetes.

C. Restrict carbohydrate intake might be part of managing gestational diabetes if it is diagnosed, but it is not the immediate next step after an abnormal GCT result. The focus is on further testing with a 3-hour GTT to confirm gestational diabetes.

D. Return for a fasting 3-hour glucose tolerance test (GTT) is the correct next step. If a client’s GCT result is ≥130-140 mg/dL, a 3-hour GTT is typically scheduled. The 3-hour GTT is a more comprehensive test that involves fasting and measuring blood glucose levels after consuming a larger dose of glucose (100 g). This test is used to diagnose gestational diabetes.

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:

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

The nurse dries the neonate thoroughly and promptly changes wet linens. The nurse does so to minimize heat loss via which mechanism?

Correct Answer is B

Explanation

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