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Exam (elaborations)

saunders postpartum Questions With Complete Solutions

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  • Course
  • Postpartum
  • Institution
  • Postpartum

saunders postpartum Questions With Complete Solutions

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  • August 11, 2024
  • 23
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Postpartum
  • Postpartum
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saunders postpartum Questions With Complete Solutions

The nurse is talking to a pregnant client with human
immunodeficiency virus (HIV) infection regarding care for the
newborn after delivery. The client asks the nurse about the
feeding options that are available. Which response should the
nurse make to the client? Correct Answers "You will need to
hh hh



bottle-feed your newborn."

The client received epidural anesthesia during labor and had a
forceps delivery after pushing for 2 hours. At 6 hours
postpartum, the client's systolic blood pressure (BP) dropped 20
points, the diastolic BP dropped 10 points, and her pulse is 120
beats per minute. The client is very anxious and restless. The
nurse is told that the client has a vulvar hematoma. Based on this
diagnosis, the nurse should plan which action? Correct Answers
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Prepare the client for surgery.
hh




he nurse is preparing a list of self-care instructions for a
postpartum client who has been diagnosed with mastitis. Which
instructions should be included on the list? Select all that apply.
Correct Answers Rest during the acute phase.
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2.
Wear a supportive, nonunderwire bra.

3.
Maintain a fluid intake of at least 3000 mL.

4.
Continue to breastfeed if the breasts are not too sore.

,A postpartum client is getting ready for discharge. The nurse
suspects that the client needs further teaching related to
breastfeeding when she makes which statement? Correct
hh



Answers "I don't need birth control because I will be
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breastfeeding."

The nurse is assisting with caring for a postpartum client who is
experiencing uterine hemorrhage. When planning to meet the
psychosocial needs of the client, the nurse should plan which
action? Correct Answers Keep the client and her family
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members informed of her progress.

The nurse palpates the fundus and checks the character of the
lochia of a postpartum client who is in the fourth stage of labor.
Which lochia characteristic should the nurse expect to note?
Correct Answers Red
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After episiotomy and the delivery of a newborn, the nurse
performs a perineal check on the mother. The nurse notes a
trickle of bright red blood coming from the perineum. The nurse
checks the fundus and notes that it is firm. Which determination
should the nurse make? Correct Answers The bright red
hh hh



bleeding is abnormal and should be reported.

The nurse is assigned to care for the client during the postpartum
period. The client asks the nurse what the term involution
means. Which description should the nurse give to the client?
Correct Answers The progressive descent of the uterus into the
hh hh



pelvic cavity, which occurs at a rate of approximately 1 cm/day

, A mother is breastfeeding her newborn baby and experiences
breast engorgement. The nurse should encourage the mother to
do which to provide relief of the engorgement? Correct
hh



Answers Massage the breasts before feeding to stimulate let-
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down.

After delivery the nurse checks the height of the uterine fundus.
Which position of the fundus should the nurse expect to note?
Correct Answers At the level of the umbilicus
hh hh




The nurse is caring for a postpartum client. At 4 hours
postpartum, the client's temperature is 102° F (38.9° C). Which
is the appropriate nursing action? Correct Answers Notify the
hh hh



registered nurse (RN), who will then contact the primary health
care provider (PHCP).

The nurse is assisting with planning care for a postpartum
woman who has small vulvar hematomas. To assist with
reducing the swelling, the nurse should perform which action?
Correct Answers Prepare an ice pack for application to the
hh hh



area.

The nurse is assigned to care for the client after a cesarean
section. To prevent thrombophlebitis, the nurse should
encourage the woman to take which priority action? Correcthh



Answers Ambulate frequently.
hh




A mother is breastfeeding her newborn. The mother complains
to the nurse that she is experiencing severe nipple soreness. The
nurse should provide which suggestion to the client? Correct
hh



Answers Position the newborn infant with the ear, shoulder, and
hh

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