A nurse is caring for a client on the second day postpartum.
The client informs the nurse that she is voiding a large volume of urine frequently.
Which factor should the nurse identify as a potential cause for urinary frequency?.

Urinary tract infection.

Trauma to pelvic muscles.

Urinary overflow.

Postpartum diuresis.

Answer and Explanation

The Correct Answer is D

The correct answer is choice D.

Choice A rationale:

While a urinary tract infection can cause frequent urination, it’s usually accompanied by other symptoms such as pain or burning during urination.

Choice B rationale:

Trauma to pelvic muscles can cause urinary incontinence, not necessarily increased frequency.

Choice C rationale:

Urinary overflow is a condition where the bladder is always full and can lead to frequent leakage of urine.

Choice D rationale:

Postpartum diuresis is the body’s way of getting rid of excess fluid accumulated during pregnancy, leading to increased urine production and frequency.

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Correct Answer is A

Explanation

The correct answer is choice A.

Choice A rationale:

The GTPAL system stands for Gravida, Term, Preterm, Abortions, and Living children. In this case, the woman has been pregnant 4 times (Gravida 4), has had one term birth (Term 1), one preterm birth (Preterm 1), one abortion/miscarriage (Abortions 1), and one living child (Living 1). Therefore, the correct classification is 4, 1, 1, 1, 1.

Choice B rationale:

This choice incorrectly classifies the number of pregnancies (Gravida should be 4, not 3) and does not account for the preterm birth or the number of living children.

Choice C rationale:

This choice overcounts the number of term births and living children.

Choice D rationale:

This choice incorrectly classifies the number of pregnancies (Gravida should be 4, not 3) and overcounts the number of living children.

A. Heart rate, respiratory effort. B. Temperature, tone. C. And color. D. Heart rate, breaths per minute, irritability, tone, and color.

Correct Answer is D

Explanation

The correct answer is choice D.

Choice A rationale:

Heart rate and respiratory effort are two of the five parameters of the Apgar score. However, this choice is incomplete as it does not include all five parameters.

Choice B rationale:

Temperature is not a parameter of the Apgar score. Tone is a parameter, but this choice is incomplete as it does not include all five parameters.

Choice C rationale:

Color is a parameter of the Apgar score. However, this choice is incomplete as it does not include all five parameters.

Choice D rationale:

The Apgar score is based on five parameters: heart rate, breaths per minute (respiratory effort), irritability (response to stimulation), tone (muscle tone), and color. Therefore, this choice is correct.

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A nurse is caring for a client on the second day postpartum.The client informs the nurse that she is voiding a large volume of urine frequently.Which factor should the nurse identify as a potential cause for urinary frequency?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Utilize the GTPAL system to classify a woman who is currently 18 weeks pregnant.This is her 4th pregnancy.She gave birth to one baby vaginally at 26 weeks who died, experienced a miscarriage, and has one living child who was delivered at 38 weeks gestation.

Correct Answer is A

Explanation

The Apgar score is based on which 5 parameters?.

Correct Answer is D

Explanation

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A nurse is caring for a client on the second day postpartum.
The client informs the nurse that she is voiding a large volume of urine frequently.
Which factor should the nurse identify as a potential cause for urinary frequency?.