A nurse is caring for a client who has postpartum endometritis and is receiving IV antibiotics.

Which of the following findings indicates that the treatment is effective? A) Decreased vaginal bleeding.

Decreased vaginal bleeding.

Increased abdominal pain.

Increased temperature.

Decreased white blood cell count

Answer and Explanation

The Correct Answer is D

The correct answer is D) Decreased white blood cell count. Postpartum endometritis is an infection of the lining of the uterus that causes fever, abdominal pain, uterine tenderness and sometimes discharge. It is usually caused by bacteria from the lower genital or gastrointestinal tract. White blood cell count is a marker of inflammation and infection, so a decreased white blood cell count indicates that the treatment is effective and the infection is resolving.

A) Decreased vaginal bleeding is not a sign of effective treatment for postpartum endometritis.

Vaginal bleeding after delivery is normal and gradually decreases over time. It is not related to the infection of the uterus.

B) Increased abdominal pain is a sign of worsening infection, not effective treatment. Abdominal pain is one of the symptoms of postpartum endometritis and should improve with antibiotic therapy.

C) Increased temperature is also a sign of worsening infection, not effective treatment. Fever is another symptom of postpartum endometritis and should decrease with antibiotic therapy.

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Correct Answer is A

Explanation

The correct answer is choice A) Encourage fluid intake to promote hydration.

This is because hydration helps to flush out the infection and prevent dehydration from fever.

Fluid intake also supports milk production for breastfeeding.

Choice B) Instruct the client to avoid ambulation until symptoms resolve is wrong because ambulation promotes blood circulation and prevents thrombosis.

Ambulation also helps to expel lochia and reduce uterine cramping.

Choice C) Administer analgesics as prescribed to manage pain is correct but not the best answer.

Pain management is important for comfort and healing, but it does not address the underlying infection.

Choice D) Instruct the client to avoid breastfeeding until symptoms resolve is wrong because breastfeeding helps to contract the uterus and prevent bleeding.

Breastfeeding also provides immunity and nutrition to the newborn.

The infection is not transmitted through breast milk.

Choice E) Encourage frequent voiding is correct but not the best answer.

Frequent voiding helps to prevent urinary tract infections and bladder distension.

However, it does not directly affect the endometrial infection.

A. Calling infant by nam B. Exploration of newborn head-to-toe C. In face position D. Avoiding eye contact with newborn E. Holding newborn close to chest

Correct Answer is ["A","B","C"]

Explanation

The correct answer is choices A, B and C.These are three signs of positive bonding between parents and newborn.

Calling infant by name shows recognition and affection.

Exploration of newborn head-to-toe shows curiosity and interest.

In face position shows eye contact and communication.

Choice D is wrong because avoiding eye contact with newborn is a sign of detachment or depression.Choice E is wrong because holding newborn close to chest may prevent eye contact and facial expressions.

Positive bonding is essential for a baby’s healthy development and attachment.

It makes parents want to shower their baby with love and care, and it makes babies feel secure and confident.Bonding can happen at any time, but it usually starts right after birth or adoption.

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A nurse is caring for a client who has postpartum endometritis and is receiving IV antibiotics. Which of the following findings indicates that the treatment is effective? A) Decreased vaginal bleeding.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has postpartum endometritis and is receiving IV antibiotics. Which of the following instructions should the nurse include in the plan of care? A) Encourage fluid intake to promote hydration.

Correct Answer is A

Explanation

(select all that apply, from search results) What are three signs of positive bonding between parents and newborn?

Correct Answer is ["A","B","C"]

Explanation

A nurse is preparing a discharge plan for a postpartum woman who had a vaginal delivery with a second-degree perineal tear. The nurse includes instructions on how to care for the perineum at home. Which statement by the woman indicates that she understands the instructions?

A nurse is caring for a client who has postpartum endometritis and is receiving IV antibiotics. Which of the following findings indicates that the treatment is effective? A) Decreased vaginal bleeding.

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A nurse is caring for a client who has postpartum endometritis and is receiving IV antibiotics.

Which of the following findings indicates that the treatment is effective? A) Decreased vaginal bleeding.