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. Engrossment refers to the father's intense interest in the newborn, including focused attention, touching, and bonding behaviors such as counting the baby's fingers and toes.
B. Pacing during delivery may indicate anxiety but does not reflect engrossment.
C. Expressing feeling overwhelmed and avoiding holding the baby suggests difficulty adjusting rather than engrossment.
D. Being present during delivery is supportive but does not specifically indicate engrossment.
Correct Answer is D
Explanation
A. Alternating breasts ensures equal milk drainage and prevents engorgement.
B. Washing with water is sufficient to maintain hygiene without drying the nipples.
C. Emptying the breasts helps maintain milk supply and prevents engorgement.
D. Soap can strip the natural oils from the nipples, leading to dryness and cracking, which increases the risk of irritation and infection.
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