A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and displaced to the right. Based on these findings, which of the following actions should the nurse take?

Encourage the client to perform Kegel exercises.

Encourage the client to move to the left lateral position.

Ask the client to rate her pain.

Encourage the client to empty bladder by voiding

Answer and Explanation

The Correct Answer is D

A.   Kegel exercises are not indicated for addressing a boggy uterus; emptying the bladder is a more appropriate intervention.
B.   Moving to the left lateral position may help, but the primary concern is a full bladder contributing to uterine displacement.
C. Pain assessment is important but does not directly address the issue of a boggy uterus and displacement.
D.   Encouraging the client to empty the bladder by voiding is essential, as a full bladder can displace the uterus and contribute to uterine atony.

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Correct Answer is C

Explanation

A. The radiant heat warmer does not prevent brown fat production, which is a normal response to cold exposure in newborns.
B. Shivering is a response to cold and not prevented by the radiant heat warmer.
C. The radiant heat warmer helps prevent cold stress by maintaining the newborn's body temperature.
D. Basal metabolic rate reduction is not a specific concern addressed by the radiant heat warmer.

A. "You should place your nipple and some of the areola into his/her mouth." B. "Babies know instinctively how much of the nipple to take into their mouth." C. "Try to place the part of the nipple and the areola under the tongue in the infant's mouth." D. "Your baby's mouth is rather small so she will only take part of the nipple."

Correct Answer is A

Explanation

A. Proper latch involves placing both the nipple and a portion of the areola into the baby's mouth.
B. While babies have instincts, guidance on proper latch is essential for successful breastfeeding.
C. Placing the nipple and areola under the tongue is not accurate guidance for breastfeeding.
D. Limiting the latch to part of the nipple may lead to ineffective breastfeeding.

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A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and displaced to the right. Based on these findings, which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse places a newborn under a radiant heat warmer after birth. The purpose of this action is to prevent which of the following in the newborn?

Correct Answer is C

Explanation

A nurse is assisting a client who is postpartum with her first breastfeeding experience. When the client asks how much of the nipple she should put into the newborn's mouth, which of the following responses should the nurse make?

Correct Answer is A

Explanation

A nurse on the labor and delivery unit is caring for a newborn immediately following birth. Which of the following actions by the nurse reduces evaporative heat loss by the newborn?

A nurse is providing teaching about newborn care to a client who is 2 hr postpartum. Which of the following statements by the client indicates a need for further teaching?

A nurse is assisting with the care of a newborn immediately following birth. Which of the following medications should the nurse anticipate administering? (Select all that apply.)

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?

A woman gave birth to a 7-pound, 6-ounce infant girl 1 hour ago. The birth was vaginal and the estimated blood loss (EBL) was 1500 ml. When evaluating the woman's vital signs, which finding would be of greatest concern to the nurse?

A nurse is caring for a newborn delivered by vaginal birth with a vacuum assist. The newborn’s mother asks about the swollen area on her son’s head. After palpation to identify that the swelling crosses the suture line, which of the following is an appropriate response by the nurse?

A primiparous woman is in the taking-in stage of psychosocial recovery and adjustment after childbirth. Recognizing the needs of women during this stage, how should the nurse respond?