A nurse is collecting data from a client who is 2 days postoperative following a cesarean birth. Which of the following findings should the nurse report to the provider?

Left calf tenderness

Moderate lochia rubra

Urine output of 3,000 mL

Breast engorgement

Answer and Explanation

The Correct Answer is A

A.   Left calf tenderness can be a sign of deep vein thrombosis (DVT), which is a serious postoperative complication and should be reported to the provider.
B.   Moderate lochia rubra is an expected finding after a cesarean birth.
C.   A urine output of 3,000 mL is within normal range and does not warrant immediate reporting to the provider.
D.   Breast engorgement is an expected finding in the postpartum period, especially if the client is not breastfeeding. It does not require immediate reporting.

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Correct Answer is B

Explanation

A: A dark line in the middle of the abdomen (linea nigra. is a normal pigment change during pregnancy and is not indicative of an infection.
B: Hormonal changes during pregnancy can lead to increased pigmentation, often called "mask of pregnancy" or chloasma. This can cause discoloration on the cheeks.
C: Swelling of fingers and face (edema. can occur during pregnancy due to fluid retention, but it is not universal for all pregnant individuals.
D: Burning during urination is more indicative of a urinary tract infection and should be reported to a healthcare provider.

A. Place the client in a side-lying position. B. Apply a cool compress to the client's abdomen. C. Administer ibuprofen to the client. D. Encourage the client to perform Kegel exercises.

Correct Answer is C

Explanation

A. Placing the client in a side-lying position may be a comfort measure, but it may not address the afterpains directly.
B. Applying a cool compress may provide some relief, but it may not be as effective as administering medication for pain relief.
C. Administering ibuprofen or other appropriate pain medication can help relieve afterpains, which are caused by uterine contractions after childbirth.
D. Encouraging Kegel exercises is not relevant to relieving afterpains. Kegel exercises are beneficial for pelvic floor muscle strength but do not directly address afterpains.

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A nurse is collecting data from a client who is 2 days postoperative following a cesarean birth. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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