A nurse is collecting data from a client who is 20 hr postpartum following a vaginal delivery. Which of the following findings should the nurse expect?

Positive Homans' sign

Full, firm breasts

Firm fundus at midline

Lochia serosa

Answer and Explanation

The Correct Answer is C

A.   Homans' sign is a test for deep vein thrombosis and is not a normal postpartum finding.
B.   Full, firm breasts typically occur a few days after delivery when milk production begins, not at 20 hours postpartum.
C.   A firm fundus at the midline is an expected finding in the immediate postpartum period, indicating that the uterus is contracting and involuting properly.
D.   Lochia serosa (pinkish-brown discharge) is a normal finding around 3 to 10 days postpartum, but it is not typically present at 20 hours postpartum.

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Correct Answer is D

Explanation

A. A history of spontaneous abortion is not a contraindication for using a transdermal contraceptive patch.
B. Peptic ulcer disease is not a contraindication for using a transdermal contraceptive patch.
C. Blood pressure of 120/70 mm Hg is within the normal range and is not a contraindication for using a transdermal contraceptive patch.
D. The transdermal contraceptive patch may be less effective for individuals with a weight of 90 kg (198 lB. or more. Therefore, it is contraindicated for clients who weigh 98 kg (216 lb). These clients may need to consider alternative contraceptive methods.

A. An increase in platelet count B. A decrease in blood pressure C. A decrease in FHR D. An increase in urinary output

Correct Answer is B

Explanation

A. Nifedipine does not directly affect platelet count.
B. Nifedipine is a calcium channel blocker used to lower blood pressure. Monitoring for a decrease in blood pressure is essential.
C. Nifedipine does not typically cause a significant decrease in fetal heart rate (FHR).
D. While nifedipine may impact urinary output indirectly through blood pressure regulation, it is not the primary therapeutic effect to monitor.

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A nurse is collecting data from a client who is 20 hr postpartum following a vaginal delivery. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is collecting data from a client who is requesting a prescription for a transdermal contraceptive patch. The nurse should recognize that which of the following client findings is a contraindication for this method of contraception?

Correct Answer is D

Explanation

A nurse is assisting with the care of a client who is at 34 weeks of gestation and received a dose of nifedipine 2 hr ago. For which of the following therapeutic effects should the nurse monitor?

Correct Answer is B

Explanation

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A nurse is caring for a client who inquires about available methods of contraception. Which of the following actions should the nurse take?

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