A nurse is evaluating a postpartum woman’s knowledge about pain management after birth.

The nurse asks the woman what she would do if she has uterine cramping while breastfeeding her baby.

Which response by the woman indicates a need for further teaching?

I would take ibuprofen before feeding my baby.

I would massage my abdomen gently during feeding

I would use relaxation and breathing techniques.

I would stop feeding my baby until the pain goes away.

Answer and Explanation

The Correct Answer is D

The correct answer is choice D. I would stop feeding my baby until the pain goes away. This response indicates a need for further teaching because stopping breastfeeding can worsen the uterine cramping and also affect the milk supply and the baby’s nutrition. Uterine cramping or “afterpains” are normal after delivery and are caused by the uterus contracting and shrinking back to its normal size. Breastfeeding can trigger these contractions because it stimulates the release of oxytocin, a hormone that helps the uterus contract.

Choice A is wrong because ibuprofen is a safe and effective pain reliever for postpartum women and can be taken before feeding the baby. Choice B is wrong because massaging the abdomen gently during feeding can help ease the afterpains by stimulating blood flow and relaxing the muscles. Choice C is wrong because relaxation and breathing techniques can also help reduce the pain by lowering stress and tension levels. These are some of the self-help treatments that can be used along with medications to manage postpartum pain.

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Correct Answer is A

Explanation

The correct answer is choice A) Nausea and vomiting.This is because nausea and vomiting are common adverse effects of many antibiotics, especially clindamycin and gentamicin, which are often used to treat postpartum endometritis.Nausea and vomiting can also indicate a more serious complication of antibiotic therapy, such as Clostridioides difficile infection.

Choice B) Increased appetite is wrong because antibiotics do not typically affect appetite, and postpartum endometritis may cause loss of appetite due to fever, pain, and inflammation.

Choice C) Increased urine output is wrong because antibiotics do not usually increase urine output, and postpartum endometritis may cause dehydration due to fever and vomiting.

Choice D) Decreased heart rate is wrong because antibiotics do not generally lower heart rate, and postpartum endometritis may cause tachycardia due to fever, infection, and sepsis.

A. Lochia with clots. B. Fundus firmness C. Abdominal distension D. Breast tenderness. E. Temperature greater than 38°C for more than 48 hours.

Correct Answer is E

Explanation

The correct answer is choice E) Temperature greater than 38°C for more than 48 hours.This is because a fever higher than 38°C that lasts for more than two days can indicate a postpartum infection, which is a potentially serious complication that requires immediate medical attention.A postpartum infection can affect various parts of the body, such as the uterus, the breast, or the urinary tract.

Choice A) Lochia with clots is wrong because lochia is the normal vaginal discharge that occurs after childbirth and may contain some blood clots.However, if the lochia is foul-smelling, excessive, or bright red, it may be a sign of infection.

Choice B) Fundus firmness is wrong because a firm fundus (the top of the uterus) indicates that the uterus is contracting well and preventing excessive bleeding.A soft or boggy fundus can be a sign of infection or hemorrhage.

Choice C) Abdominal distension is wrong because some abdominal swelling is normal after delivery and may take several weeks to subside.However, if the abdomen is very tender, painful, or hard, it may be a sign of infection or other complications.

Choice D) Breast tenderness is wrong because some

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A nurse is evaluating a postpartum woman’s knowledge about pain management after birth. The nurse asks the woman what she would do if she has uterine cramping while breastfeeding her baby. Which response by the woman indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has postpartum endometritis and is receiving IV antibiotics. Which of the following findings indicates that the client is experiencing an adverse effect of the medication?

Correct Answer is A

Explanation

A nurse is assessing a postpartum client for signs of infection. Which of the following should the nurse report immediately? A) Lochia with clots.

Correct Answer is E

Explanation

A nurse is caring for a postpartum client who reports heavy vaginal bleeding and passing large clots since delivery 2 days ago. Which of the following actions should the nurse take first?

A nurse is caring for a client who received meperidine (Demerol) IV for pain relief during labor 2 hours ago and is now ready to deliver vaginally. Which of the following medications should the nurse have available to reverse respiratory depression in the newborn?

entanyl (Sublimaze) is a synthetic opioid that can cause respiratory depression and sedation in both mothers and infants. Normal ranges for respiratory rate in newborn infants are 30 to 60 breaths per minute. Normal ranges for oxygen saturation in newborn infants are 90% to 100%.

A nurse is providing discharge teaching to a client who had a vaginal delivery with a midline episiotomy. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

A nurse is caring for a client who has postpartum endometritis and is receiving IV antibiotics. Which of the following instructions should the nurse include in the plan of care? A) Encourage fluid intake to promote hydration.

Question 48. A client who has undergone a cesarean section is experiencing abdominal pain and tenderness. Which of the following should the nurse assess for?

A nurse is caring for a postpartum client who delivered vaginally yesterday and has been experiencing heavy vaginal bleeding since delivery. Which of the following actions should the nurse take first?

A nurse is caring for a client who has postpartum endometritis and is receiving IV antibiotics. Which of the following findings indicates that the treatment is effective? A) Decreased vaginal bleeding.

A nurse is evaluating a postpartum woman’s knowledge about pain management after birth.

The nurse asks the woman what she would do if she has uterine cramping while breastfeeding her baby.

Which response by the woman indicates a need for further teaching?