After completing post anesthesia recovery assessments, the registered nurse (RN) asks the practical nurse (PN) to transfer four clients, each two hours post-birth, to the postpartum unit. Which client should the PN ask the RN to reassess prior to transfer?

A primigravida whose perineal pain has worsened one hour after being medicated.

A multigravida whose peri-pad is 1/4 saturated with lochia rubra after one hour.

A multigravida complaining of strong afterbirth pains when breastfeeding.

A primigravida who passed a small clot when she sat up on the edge of the bed

Answer and Explanation

The Correct Answer is A

This client should be reassessed by the RN prior to transfer, as worsening perineal pain may indicate a hematoma, infection, or inadequate pain management. The RN should inspect the perineum, check the vital signs, and evaluate the eﬀectiveness of the medication.

The other options are not correct because:

B .A multigravida whose peri-pad is 1/4 saturated with lochia rubra after one hour does not need to be reassessed by the RN, as this is a normal finding for a client two hours post-birth. Lochia rubra is the red-colored vaginal discharge that contains blood and debris from the placental site, and it usually lasts for 3 to 4 days after delivery. A peri-pad that is 1/4 saturated after one hour is within the expected range of blood loss.

C. A multigravida complaining of strong afterbirth pains when breastfeeding does not need to be reassessed by the RN, as this is a normal finding for a client two hours post-birth. Afterbirth pains are cramps caused by uterine contractions that help shrink the uterus and prevent bleeding. They are more common and intense in multiparous women and during breastfeeding, as oxytocin is released and stimulates the contractions.

D. A primigravida who passed a small clot when she sat up on the edge of the bed does not need to be reassessed by the RN, as this is a normal finding for a client two hours post-birth. Small clots may form in the uterus or vagina due to pooling of blood during rest or anesthesia, and they are usually expelled when changing position or ambulating. As long as the clot is smaller than a plum and there is no excessive bleeding or pain, it is not a cause for concern.

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Free Nursing Study Resources

Correct Answer is A

Explanation

Broccoli is a good source of calcium for vegans.

Choice B is incorrect because bananas are not mentioned as a good source of calcium for vegans.

Choice C is incorrect because avocados are not mentioned as a good source of calcium for vegans.

Choice D is incorrect because potatoes are not mentioned as a good source of calcium for vegans.

A. You should use an oil-based vaginal lubricant when inserting your diaphragm. B. You should store your diaphragm in sterile water after each use. C. You should keep the diaphragm in place for at least 4 hours after intercourse. D. You should have your provider refit you for any diaphragm.

Correct Answer is D

Explanation

The nurse should instruct the client to have her provider reﬁt her for a diaphragm.

After childbirth, a woman’s body undergoes changes that may aﬀect the ﬁt of her diaphragm.

It is recommended that a woman be reﬁted for a diaphragm around 6 weeks postpartum, when the uterus and cervix have returned to normal size.

Choice A is incorrect because oil-based lubricants can damage the diaphragm and reduce its eﬀectiveness.

Water-based lubricants should be used instead.

Choice B is incorrect because storing a diaphragm in sterile water is not necessary.

The diaphragm should be washed with mild soap and water after each use and air-dried before being stored in its case.

Choice C is incorrect because the diaphragm should be kept in place for at least 6 hours after intercourse, not 4 hours.

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After completing post anesthesia recovery assessments, the registered nurse (RN) asks the practical nurse (PN) to transfer four clients, each two hours post-birth, to the postpartum unit. Which client should the PN ask the RN to reassess prior to transfer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client that which of the following foods has the highest amount of calcium?

Correct Answer is A

Explanation

A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

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