A nurse is collecting data from the perineal pad of a client who is 3 days postpartum. The nurse last checked the perineal pad 1 hour ago. There is 2 cm of red lochia on the pad.
Which of the following correctly documents the nurse's finding?

Heavy lochia alba.

Heavy lochia rubra.

Moderate lochia serosa.

Scant lochia rubra.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Heavy lochia alba is an incorrect choice as lochia alba typically occurs after 10 days postpartum and is characterized by a whitish or yellowish discharge, not red.

Choice B rationale

Heavy lochia rubra is an incorrect choice because lochia rubra is characterized by bright red bleeding but heavy lochia would involve saturation of the pad within an hour, which is not the case here.

Choice C rationale

Moderate lochia serosa is incorrect because lochia serosa is typically pink or brown and occurs from approximately day 4 to day 10 postpartum, not red.

Choice D rationale

Scant lochia rubra is correct as the client is 3 days postpartum with red lochia measuring 2 cm on the pad, which indicates a small amount of bleeding consistent with scant lochia rubra.

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Correct Answer is B

Explanation

Choice A rationale

A fever following surgery is not normal and can indicate an infection; hence, this is not a correct statement.

Choice B rationale

Reporting heavy vaginal bleeding to the doctor is appropriate as it can indicate complications such as infection or retained tissue following a molar pregnancy surgery.

Choice C rationale

It is advised to avoid pregnancy for a period after molar pregnancy to ensure hCG levels return to normal and to monitor for gestational trophoblastic disease.

Choice D rationale

Follow-up visits with the provider are crucial after a molar pregnancy to monitor hCG levels and ensure no complications arise, so delaying visits until pregnancy is incorrect.

A. I will tell my pregnant friend to get their shot after they have their baby to be safe. B. My friend had chicken pox as a kid, so they probably don't need this vaccine. C. I'm glad this isn't an annual vaccine like the flu shot. D. I will get my second dose of the vaccine at the pharmacy 12 weeks postpartum.

Correct Answer is C

Explanation

Choice A rationale

Advising a pregnant friend to get the varicella vaccine postpartum is correct as it is a live vaccine not recommended during pregnancy due to potential risks to the fetus.

Choice B rationale

If a person had chickenpox, they likely have immunity, but it's still beneficial to assess for varicella zoster immunity to determine if vaccination is necessary.

Choice C rationale

Varicella vaccine requires two doses, and misunderstanding this indicates a need for further teaching to ensure complete immunization and protection.

Choice D rationale

Planning to get the second dose at the pharmacy 12 weeks postpartum is correct, showing understanding of the vaccination schedule and follow-up care.

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A nurse is collecting data from the perineal pad of a client who is 3 days postpartum. The nurse last checked the perineal pad 1 hour ago. There is 2 cm of red lochia on the pad. Which of the following correctly documents the nurse's finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching for a client following surgery for a molar pregnancy. Which of the following client statements indicates an understanding of the discharge teaching?

Correct Answer is B

Explanation

A client who is 1 day postpartum receives a varicella vaccine in the hospital. Which of the following responses indicates that the client will need further teaching about the vaccine?

Correct Answer is C

Explanation

A nurse is reinforcing teaching about expected gestational changes with a client who is at 12 weeks of gestation. Which of the following statements by the client indicates a need for further teaching?

A nurse is collecting data from the perineal pad of a client who is 3 days postpartum. The nurse last checked the perineal pad 1 hour ago. There is 2 cm of red lochia on the pad. Which of the following correctly documents the nurse's finding?

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A nurse is collecting data from the perineal pad of a client who is 3 days postpartum. The nurse last checked the perineal pad 1 hour ago. There is 2 cm of red lochia on the pad.
Which of the following correctly documents the nurse's finding?