A nurse is caring for a client who is 6 hours postpartum and asks the nurse to feed her newborn. Which of the following responses should the nurse provide?

“You can learn to feed him; I wasn’t comfortable the first time I fed a baby either.”

“I’ll feed him today. Maybe tomorrow you can try it.”

“Oh, this isn’t difficult. You’ll be fine doing this.’

“Feeding an infant can feel a little intimidating at first, but I’ll stay and help you.”

Answer and Explanation

The Correct Answer is D

A.   Dismissing the client's request without offering assistance or guidance is not supportive.
B.   Delaying the client's request to tomorrow does not address her immediate needs.
C. Minimizing the client's concerns may make her feel unsupported and anxious.
D.   Acknowledging the client's feelings and offering assistance conveys empathy and support.

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Correct Answer is A

Explanation

A. A fundus palpable to the right of midline may indicate a distended bladder pushing the uterus to the side, and it requires intervention to promote bladder emptying.
B. Less than 2.5 cm of rubra lochia on a perineal pad is a normal finding in the early postpartum period.
C. Increased thirst is not directly indicative of bladder distention.
D. Frequent uterine contractions are expected in the postpartum period and do not necessarily indicate bladder distention.

A. Place an identification bracelet. B. Dry the skin. C. Administer vitamin K. D. Administer eye prophylaxis.

Correct Answer is B

Explanation

A. Placing an identification bracelet is important but not the immediate priority after ensuring a patent airway.
B. Drying the skin is a priority to prevent heat loss and promote thermoregulation in the newborn.
C. Administering vitamin K is important but can be done after drying the skin.
D. Administering eye prophylaxis is important but can be done after drying the skin.

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A nurse is caring for a client who is 6 hours postpartum and asks the nurse to feed her newborn. Which of the following responses should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 2 hr postpartum following a vaginal birth. Which of the following findings indicates the client's bladder is distended?

Correct Answer is A

Explanation

A nurse is caring for a newborn immediately following birth. After assuring a patent airway, what is the priority nursing action?

Correct Answer is B

Explanation

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