Which of the following clients is most likely to complain of afterbirth pains during her postpartum period?

G2P1 who was GBS+ and treated with penicillin

G3P2 who gave birth to a 9lb baby

G1P1 who gave birth to a 7lb baby

G3PO diagnosed with preterm labor

Answer and Explanation

The Correct Answer is B

A. G2P1 (second pregnancy, one prior birth) may experience some afterbirth pains, but G3P2 is at higher risk.

B. Multiparous clients (those who have had multiple pregnancies) are more likely to experience stronger afterbirth pains due to repeated uterine stretching and contractions. Additionally, delivering a large baby (macrosomia) increases uterine involution and associated pain.

C. First-time mothers (G1P1) typically experience milder afterbirth pains due to a less stretched uterus.

D. G3P0 (three pregnancies, no births) suggests preterm labor without full-term delivery, making afterbirth pains unlikely.

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Correct Answer is B

Explanation

A. Incorrect. 200 mL of urine in 12 hours is inadequate postpartum output and may indicate urinary retention.

B. Correct. A distended bladder can interfere with uterine involution and increase the risk of postpartum hemorrhage. The provider should be notified, and interventions such as catheterization may be necessary.

C. Incorrect. Waiting 24 hours before intervention is inappropriate when urinary retention is already evident.

D. Encouraging fluids is helpful, but it does not directly address the immediate concern of a distended bladder.

A. Signs and symptoms of postpartum blues include: lack of appetite, feeling let down, tearfulness, and insomnia. B. Medications are available to relieve the symptoms. C. Postpartum blues last about a week or two. D. The father may become sad and weepy. E. Very few women experience postpartum blues.

Correct Answer is ["A","C"]

Explanation

A. Correct. Common symptoms of postpartum blues include emotional sensitivity, mood swings, crying spells, and difficulty sleeping.

B. Incorrect. Medications are not typically needed for postpartum blues, as the condition resolves on its own.

C. Correct. Postpartum blues usually last for about 10–14 days and resolve without intervention.

D. Incorrect. While fathers can experience mood changes postpartum, postpartum blues specifically refer to hormonal changes in the mother.

E. Incorrect. Postpartum blues are common, affecting up to 50-80% of postpartum women.

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Which of the following clients is most likely to complain of afterbirth pains during her postpartum period?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client at 12 hours postpartum who has voided a total of 200 ml. Upon assessment the nurse notes that the bladder is distended. What is the priority intervention by the nurse?

Correct Answer is B

Explanation

A nurse is counseling a woman about postpartum blues. Which of the following should be included in the discussion? Select two that Apply.)

Correct Answer is ["A","C"]

Explanation

When discussing the need to support the lower uterine segment, which statement by the new nurse indicates understanding.

You are assessing a patient who delivered vaginally 48 hours ago. At this time, where would you expect to feel her fundus?

A 25 year-old woman gave birth to her second child 6 hours ago. She informs the nurse that she is bleeding more than with her previous birth experience. The initial nursing action is to:

On the fourth postpartum day, a client experiences breast engorgement. To relieve her discomfort, which of these nursing interventions is most effective to meet the expected outcome?

A nurse is reviewing the prescribed orders for a client who is two days postpartum and has a fourth degree perineal laceration. Which of these orders should the nurse question?

The nurse assesses a mother's bonding with her new baby. Which action made by the mother does the nurse identify as the initial maternal phase/postpartum adjustment.

A nurse is assessing a client who is four hours postpartum. Her temperature is 39 C (102.2F), pulse 96 beats per minute, and respirations 18 breaths per minute. Based on this information, which of these orders is most appropriate for treating the client at this time?