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?.
Notify the client's provider.
Increase the frequency of fundal massage.
Document the findings and continue to monitor the client.
Encourage the client to empty her bladder.
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C.
Choice A rationale:
Keeping the baby’s head covered helps to prevent heat loss, as newborns lose a significant amount of heat through their heads.
Choice B rationale:
Keeping the baby’s bassinet away from fans and air conditioning helps to maintain a stable body temperature.
Choice C rationale:
Newborns’ temperatures are typically checked every 3 to 4 hours, not every hour, and are usually done axillary, not rectally.
Choice D rationale:
Placing the baby on the mother’s stomach and covering her with a warm blanket promotes skin-to-skin contact and helps to maintain the baby’s body temperature.
Correct Answer is B
Explanation
The correct answer is choice B.
Choice A rationale:
Brownish vaginal discharge can be a sign of labor but it is not definitive.
Choice B rationale:
Cervical dilation is a definitive sign that labor has started.
Choice C rationale:
Presence of amniotic fluid in the vaginal vault can indicate rupture of membranes but it does not confirm labor.
Choice D rationale:
Pain above the umbilicus is not a typical sign of labor.
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