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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. The priority is to assess the fundus for firmness and location. Uterine atony is a common cause of postpartum hemorrhage and requires immediate assessment and intervention.
B. Incorrect. Increased bleeding in a multiparous client should not be dismissed as normal without assessment.
C. Incorrect. Administering Pitocin may be appropriate but should follow an assessment of the fundus first.
D. Incorrect. Waiting an hour without assessing the fundus could delay necessary interventions for postpartum hemorrhage.
Correct Answer is A
Explanation
A. Pulmonary embolism (PE): PE is a life-threatening condition that occurs when a blood clot travels to the lungs, often originating from a deep vein thrombosis (DVT). Postpartum clients are at increased risk due to hypercoagulability. Symptoms include sudden-onset dyspnea, chest pain, tachypnea, tachycardia, and hypoxia despite clear lung sounds. This warrants immediate intervention.
B. Mitral valve collapse: This is not a common postpartum complication and does not explain the client’s acute symptoms.
C. Upper respiratory infection: URIs present with cough, congestion, fever, and abnormal lung sounds, which this client does not have.
D. Thrombophlebitis: This refers to localized inflammation of a superficial vein, which may cause leg pain and swelling but does not typically result in respiratory distress.
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