Which of the following actions should a nurse plan to take for a postpartum client who expresses a desire to follow traditional beliefs regarding the balance of yin and yang for postpartum care?
Assist the client with showering twice daily.
Provide the client with a warm beverage.
Maintain a cool environment in the client's room.
Apply a new ice pack to the client's perineal area every 4 hr.
The Correct Answer is B
Choice A reason: Assisting with showering twice daily does not support traditional yin-yang postpartum practices, which prioritize warmth to restore energy balance and promote healing. Frequent exposure to water, especially if cool, may introduce cold or dampness, disrupting the body’s qi and hindering recovery. This practice is not scientifically aligned with the warming principles of yin-yang balance, which are critical for postpartum recuperation in traditional Chinese medicine.
Choice B reason: Providing a warm beverage aligns with yin-yang principles, as warmth supports the body’s yang energy, aiding recovery by promoting blood flow and energy restoration. In traditional Chinese medicine, warm fluids help balance the body’s qi, counteracting the cold yin state of postpartum. This practice supports physiological healing by maintaining hydration and warmth, essential for tissue repair and energy balance.
Choice C reason: Maintaining a cool environment contradicts yin-yang postpartum care, which emphasizes warmth to restore energy balance. A cool environment may exacerbate the cold yin state, potentially slowing recovery by reducing blood flow and energy circulation. Scientifically, a cooler environment does not support the thermoregulatory needs of a postpartum body, which requires warmth to promote healing and comfort.
Choice D reason: Applying ice packs to the perineal area introduces cold, which opposes yin-yang principles that favor warmth to restore balance and promote healing. Cold can constrict blood vessels, potentially slowing tissue repair. While ice may reduce swelling, it conflicts with traditional practices that prioritize warming therapies to support postpartum recovery and energy flow in the body.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Applying petroleum gauze to an omphalocele is inappropriate, as it does not provide a sterile barrier and risks infection or adhesion to exposed viscera. Omphaloceles require protection from contamination and dehydration, which sterile plastic wrap achieves, preserving bowel integrity until surgical repair, per neonatal surgical protocols.
Choice B reason: Positioning a newborn with an omphalocele in a supine position risks pressure on exposed viscera, potentially causing trauma or ischemia. A side-lying position supports the defect, preventing bowel damage. Proper positioning minimizes complications before surgical correction, as supine posture does not protect the omphalocele’s delicate membrane.
Choice C reason: Placing the newborn under a radiant heat source without covering the omphalocele risks dehydration and injury to exposed viscera. While thermoregulation is important, uncovered viscera lose moisture and are prone to infection. Sterile wrapping takes priority to protect the defect, followed by controlled warming, per neonatal care standards.
Choice D reason: Using sterile plastic wrap to cover the omphalocele prevents infection and dehydration of exposed viscera, maintaining bowel integrity until surgical repair. The wrap creates a sterile barrier, reducing bacterial contamination and fluid loss, critical for stabilizing the newborn’s condition and supporting preoperative management, per congenital defect care protocols.
Correct Answer is C
Explanation
Choice A reason: Consuming 27 mg of iron daily meets pregnancy requirements, supporting hemoglobin synthesis and preventing anemia. Iron deficiency increases risks of preterm birth or low birth weight, but adequate intake promotes maternal and fetal oxygenation. This level aligns with nutritional guidelines, reducing high-risk pregnancy complications, per hematological studies.
Choice B reason: Consuming 400 mcg of folate daily is recommended to prevent neural tube defects in the fetus. Folate supports DNA synthesis and cell division, critical for early embryonic development. Adequate folate intake reduces congenital anomaly risks, making it a protective factor, not a contributor to high-risk pregnancy, per nutritional science.
Choice C reason: Consuming 300 mg of caffeine daily increases high-risk pregnancy risks, as caffeine crosses the placenta, potentially reducing fetal growth and increasing miscarriage or preterm birth risks. It constricts placental blood vessels, impairing nutrient and oxygen delivery. Studies link excessive caffeine to adverse perinatal outcomes, necessitating moderation to ensure fetal safety.
Choice D reason: Consuming 3 L of water daily supports hydration, critical for amniotic fluid maintenance and maternal circulation in pregnancy. Adequate hydration prevents complications like oligohydramnios or preterm labor. This intake aligns with physiological needs, reducing high-risk pregnancy factors by supporting renal and placental function, per obstetric hydration guidelines.
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