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 ["A","B","C","D"]
Explanation
Choice A rationale
CBC will detect abnormalities such as anemia or infection, which may correlate with preeclampsia or HELLP syndrome.
Choice B rationale
Elevated AST and ALT levels indicate liver damage, a potential sign of severe preeclampsia or HELLP syndrome.
Choice C rationale
Serum creatinine helps assess kidney function, as preeclampsia can impair renal perfusion leading to elevated levels.
Choice D rationale
Fetal ultrasound assesses fetal growth, amniotic fluid volume, and placental function, critical in monitoring preeclampsia.
Correct Answer is D
Explanation
Choice A rationale
Explaining that the newborn is no longer in pain may not facilitate grieving, as it does not acknowledge the emotional connection and grief the parents are experiencing.
Choice B rationale
Sharing the nurse's own experiences and feelings may shift the focus away from the client's emotions, potentially hindering their grieving process.
Choice C rationale
Avoiding calling the newborn by their name can create a sense of detachment and may prevent the client from fully processing their grief.
Choice D rationale
Allowing the client to hold or be with their newborn provides a tangible connection, facilitating the grieving process and helping them come to terms with their loss.
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