A nurse is caring for a client who is 4 hr postpartum.
The nurse finds a small amount of lochia rubra on the client's perineal pad.
The fundus is midline and firm at the umbilicus.
Which of the following actions should the nurse take?
Assist the client to ambulate.
Increase the rate of IV fluids.
Check for blood under the client's buttock.
Perform fundal massage.
The Correct Answer is C
The nurse should check for blood under the client’s buttocks.
A small amount of lochia rubra on the client’s perineal pad 4 hours postpartum is normal.
The fundus being midline and firm at the umbilicus is also a normal finding.
Choice A is incorrect because assisting the client to ambulate is not necessary at this time.
Choice B is incorrect because there is no need to increase the rate of IV fluids.
Choice D is incorrect because performing a fundal massage is not necessary since the fundus is already firm and midline.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Anorexia nervosa is an eating disorder characterized by abnormally low body weight, an intense fear of gaining weight, and a distorted perception of weight.
People with anorexia place a high value on controlling their weight and shape, using extreme efforts that tend to significantly interfere with their lives.
Choice B, Lack of motivation, don’t like to do things perfectly, is not correct because it is not a characteristic of anorexia.
Choice C, Would rather watch TV all day than exercise, is not correct because it is not a characteristic of anorexia.
Choice D Only affects females is not correct because anorexia can affect both males and females.
Correct Answer is D
Explanation
This can help prevent stomach acid from moving up into the esophagus and causing heartburn at night.
Choice A is not correct because exercise is generally safe during pregnancy and can have many benefits.
Choice B is not correct because sodium bicarbonate may not be safe for pregnant women to take.
Choice C is not correct because heartburn during pregnancy is common and usually does not require emergency medical care.
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