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 A

Explanation

A: Minimizing strong odors can help reduce nausea, especially when preparing or cooking food.

B: Eating foods at warm temperatures may be helpful, but it is not as directly related to reducing nausea as minimizing strong odors.
C: Increasing fluids can be helpful, but it is not specifically related to reducing nausea early in the day.
D: Brushing teeth after meals is important for oral hygiene but may not have a significant impact on reducing nausea.

A. Increasing systolic blood pressure B. Breast engorgement C. Pooling of blood beneath the buttocks D. Bladder distention

Correct Answer is C

Explanation

A. Increasing systolic blood pressure: Carboprost is not indicated for increasing systolic blood pressure. If a client's blood pressure is elevated, it may require monitoring and, if necessary, treatment with antihypertensive medication.
B. Breast engorgement: Carboprost is not used to address breast engorgement. Breast engorgement is typically managed with measures like warm compresses, breastfeeding, and potentially pain relievers or other interventions.
C. Pooling of blood beneath the buttocks: This is a concerning sign of potential postpartum hemorrhage. Carboprost is indicated in situations where there is excessive bleeding or inadequate uterine contractions to help control bleeding and prevent further complications.
D. Bladder distention: Carboprost is not used to address bladder distention. Bladder distention may require measures such as catheterization to empty the bladder andalleviate discomfort.

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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?

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