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
The Ballard exam assesses gestational age, not substance exposure. It does not provide information about substance use disorder.
Choice B rationale
Non-nutritive sucking with a pacifier provides comfort and soothes newborns experiencing withdrawal symptoms due to substance exposure.
Choice C rationale
Naloxone is used to reverse opioid overdose, but it is not indicated for routine care of newborns with substance exposure.
Choice D rationale
Frequent bonding can overstimulate newborns withdrawing from substances. Limited, calming interactions are more appropriate in this context.
Correct Answer is A
Explanation
Choice A rationale
A boggy uterus indicates uterine atony, a leading cause of postpartum hemorrhage, as the uterus fails to contract effectively to compress blood vessels.
Choice B rationale
Moderate lochia rubra is expected postpartum vaginal bleeding, representing normal shedding of the uterine lining, not specifically indicating hemorrhage risk.
Choice C rationale
A first-degree perineal laceration is a minor tear that does not significantly increase the risk for postpartum hemorrhage as it usually involves limited bleeding.
Choice D rationale
Hypotension alone does not increase the risk for postpartum hemorrhage; however, it could be a result of ongoing hemorrhage rather than a cause.
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