A nurse has just received change-of-shift report about four clients who are postpartum. Which of the following clients should the nurse plan to see first?

A client whose newborn is having difficulty latching-on

A client who received magnesium sulfate during labor

A client who has a history of oligohydramnios

A client whose labor lasted for 6 hr

Answer and Explanation

The Correct Answer is B

A. A client whose newborn is having difficulty latching-on should be addressed, but this issue is not an immediate postpartum emergency. It is important but does not require urgent intervention compared to potential complications from magnesium sulfate.
B. A client who received magnesium sulfate during labor should be seen first because magnesium sulfate can cause significant side effects like respiratory depression, decreased reflexes, and altered mental status. These effects require close monitoring to prevent severe complications.
C. A client who has a history of oligohydramnios requires monitoring but this history does not necessarily indicate an immediate postpartum issue requiring urgent assessment at this time.
D. A client whose labor lasted for 6 hr does not have an immediate concern solely based on labor duration. While it is relevant, it does not indicate an urgent need for assessment compared to the effects of magnesium sulfate.

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Correct Answer is A

Explanation

A. Recurrent urinary tract infections are a contraindication for using a diaphragm because the presence of a foreign object in the vagina can increase the risk of UTIs.
B. Tobacco use is a risk factor for cardiovascular issues with hormonal contraceptives but not for barrier methods like diaphragms.
C. History of positive group B streptococcus B-hemolytic is a concern for newborn care and labor management, but it is not a contraindication for the use of a diaphragm.
D. Deep-vein thrombosis is a contraindication for hormonal contraceptives due to an increased risk of clotting but does not affect the use of diaphragms, which are a barrier method of contraception.

A. "Each feeding should last between 20 and 30 minutes." B. "Refrigerate formula from a feeding for up to 4 hours for reuse." C. "Prepared formula can be stored in the refrigerator for up to 2 days." D. "Wait until the end of the feeding to burp your baby."

Correct Answer is C

Explanation

A. Each feeding should ideally last about 20 to 30 minutes, but it is essential to monitor the baby’s cues for hunger and fullness, rather than strictly adhering to time.
B. Leftover formula from a feeding should not be refrigerated for reuse; it should be discarded to prevent bacterial growth.
C. Prepared formula can indeed be stored in the refrigerator for up to 2 days, making this statement accurate for safe feeding practices.
D. It is recommended to burp the baby during and after feedings, not just at the end, to help release any air swallowed during feeding and prevent discomfort.

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A nurse has just received change-of-shift report about four clients who are postpartum. Which of the following clients should the nurse plan to see first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is reviewing the medical record of a client who is requesting a diaphragm. Which of the following findings in the client's history should the nurse identify as a contraindication for this type of contraception?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a mother who is bottle feeding her newborn with formula. Which of the following statements should the nurse include in the teaching?

Correct Answer is C

Explanation

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