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 D

Explanation

The correct answer is choice D.

Choice A rationale:

Superficial structures above the muscle refer to first-degree lacerations, which only involve the skin of the perineum and vaginal mucosa.

Choice B rationale:

A fourth-degree laceration does not stop at the anterior rectal wall. It extends through the anal sphincter and into the rectal mucosa.

Choice C rationale:

While a fourth-degree laceration does involve the anal sphincter muscle, it also includes the underlying rectal mucosa.

Choice D rationale:

A fourth-degree laceration involves the perineal muscles, the anal sphincter, and the underlying rectal mucosa.

A. Notify the client's provider. B. Increase the frequency of fundal massage. C. Document the findings and continue to monitor the client. D. Encourage the client to empty her bladder.

Correct Answer is C

Explanation

The correct answer is choice C.

Choice A rationale:

Notifying the provider is not necessary in this case as the findings are normal for a client who is 1 hour postpartum.

Choice B rationale:

Increasing the frequency of fundal massage is not necessary as the fundus is firm and at the umbilicus.

Choice C rationale:

The findings are normal for a client who is 1 hour postpartum. The nurse should document the findings and continue to monitor the client. Therefore, this choice is correct.

Choice D rationale:

Encouraging the client to empty her bladder is not necessary in this case as the fundus is midline.

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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

When reviewing the medical record of a postpartum client, the nurse notes that the client has experienced a fourth-degree laceration.The nurse understands that the laceration extends to which area?.

Correct Answer is D

Explanation

A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad.The fundus is midline and firm at the umbilicus.Which of the following actions should the nurse take?.

Correct Answer is C

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?.