A nurse is caring for a 32-year-old female client who is at 28 weeks of gestation,

Exhibits
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client’s progress.

Answer and Explanation

The Correct Answer is []

Condition: The client is most likely expeíiencing Placenta píevia. This condition is chaíacteíized by painless, bíight íed vaginal bleeding duíing the thiíd tíimesteí, which matches the client’s symptoms.
Actions:

1. Instíuct the client to maintain bed íest: This can help to píevent fuítheí bleeding.
2. Píepaíe the client foí a possible ultíasound: An ultíasound can help to confiím the diagnosis and assess the placental location and fetal well-being.

Paíameteís to Monitoí:

1. Ïetal heaít íate: Monitoíing the fetal heaít íate can help to assess the baby’s well-being.
2. Hemoglobin and hematocíit levels: These should be monitoíed to assess the client’s blood loss and íisk of anemia.

Nursing Test Bank

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Correct Answer is D

Explanation

Choice A rationale
A pudendal nerve block is not typically used for postpartum perineal pain management. It is more commonly used during labor to relieve pain in the perineum and vagina.
Choice B rationale
While hydrogel pads can provide cooling relief, they are not typically used for third-degree perineal lacerations. These types of lacerations often require more intensive interventions.
Choice C rationale

Applying a warm pack to the perineum can help with discomfort, but it is not the primary intervention for a third-degree perineal laceration.
Choice D rationale
Witch hazel pads are often recommended for postpartum perineal care. They can provide relief from soreness, reduce inflammation, and promote healing.

A. Yellow exudate will form at the surgical site in 24 hours B. The Plastibell will be removed 4 hours after the procedure C. Make sure the newborn’s diaper is snug D. Notify the provider if the end of your baby’s penis appears dark red

Correct Answer is A

Explanation

This is the correct answer. After a Plastibell circumcision, a yellow exudate, which is part of the normal healing process, will form at the surgical site within 24 hours.
Choice B rationale
The Plastibell device is not removed 4 hours after the procedure. It falls off naturally after seven to 10 days.
Choice C rationale
Making sure the newborn’s diaper is snug is not a specific instruction related to the Plastibell circumcision technique.
Choice D rationale
Notifying the provider if the end of the baby’s penis appears dark red is not a specific instruction related to the Plastibell circumcision technique.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a patient who is 12 hours postpartum and has a third-degree perineal laceration. Which of the following interventions should the nurse include in the plan?

Correct Answer is D

Explanation

A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique. Which of the following information should the nurse include?

Correct Answer is A

Explanation

A nurse is caring for a client who is in labor. Which of the following findings should prompt the nurse to reassess the client?

A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. Which foods should the nurse recommend?

A nurse is caring for a postpartum client who recently had an indwelling urinary catheter removed. Which of the following findings indicates that the client is able to void effectively?

A nurse is assessing a newborn of a client who reported methadone use during pregnancy. What manifestations should the nurse expect the newborn to exhibit?

A nurse is providing discharge instructions to a client who is breastfeeding her newborn. What instructions should the nurse include?