Which of the following is most indicative of postpartum subinvolution?
Uterine atony.
Prolonged lochia discharge.
Severe cramping.
High fever.
The Correct Answer is B
Choice A rationale
Uterine atony refers to a lack of muscle tone in the uterus, leading to postpartum hemorrhage, not subinvolution.
Choice B rationale
Prolonged lochia discharge indicates incomplete uterine involution, as the uterus has not returned to its pre-pregnancy size.
Choice C rationale
Severe cramping may be related to other postpartum complications and is not specific to subinvolution.
Choice D rationale
High fever is more indicative of an infection rather than subinvolution of the uterus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While jaundice is common, jaundice at 24 hours old is not typical and may indicate a serious underlying condition.
Choice B rationale
Jaundice within the first 24 hours suggests possible hemolysis or infection, both of which require immediate medical attention.
Choice C rationale
Although an immature liver can cause jaundice, jaundice appearing within 24 hours warrants further investigation for pathological causes.
Choice D rationale
Normal physiological jaundice usually appears after 24 hours, peaking around days 3 to 5 of life.
Correct Answer is C
Explanation
Choice A rationale
While taking antipsychotics is important, the nurse’s immediate priority should be to assess for harm to the patient or infant, which poses an immediate danger.
Choice B rationale
Monitoring the infant’s health is important but secondary to ensuring the patient and infant's immediate safety from potential harm due to psychosis.
Choice C rationale
Assessing thoughts of harm is crucial in postpartum psychosis as it helps in identifying immediate risks to the patient and infant, allowing for timely interventions.
Choice D rationale
Reviewing the medical record for bipolar disorder is important for treatment planning but not as immediately critical as assessing for thoughts of harm.
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