A nurse is planning care for a client who is 12 hr postpartum and has a third-degree perineal laceration. Which of the following interventions should the nurse include in the plan?
Place a witch hazel pad on the client's perineal pad after each voiding
Apply hydrogel pads to the perineum every 4 hr
Prepare the client for a pudenal nerve block
Encourage the client to apply a warm pack to the perineum for discomfort
The Correct Answer is B
A. Place a witch hazel pad on the client's perineal pad after each voiding: Witch hazel pads can provide relief from perineal discomfort, but they are typically used in the immediate postpartum period for general comfort rather than specifically for third-degree perineal lacerations.
B. Apply hydrogel pads to the perineum every 4 hr: Hydrogel pads can help soothe and cool the perineal area, providing relief from pain and discomfort. This intervention is appropriate for third-degree perineal lacerations.
C. Prepare the client for a pudendal nerve block: Pudendal nerve blocks are typically used for pain relief during the second stage of labor and delivery. They are not a standard intervention for managing third-degree perineal lacerations postpartum.
D. Encourage the client to apply a warm pack to the perineum for discomfort: While warm packs can provide comfort, they are generally not recommended for third-degree perineal lacerations. Cold packs or hydrogel pads are often more appropriate for reducing swelling and providing relief in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Yellowed sclera : Yellowed sclera (the white part of the eyes) can indicate jaundice in a newborn. Jaundice is caused by elevated levels of bilirubin and may signify various underlying conditions, including an excessive breakdown of red blood cells, liver immaturity, or other issues. Prompt notification of the healthcare provider is necessary to evaluate and manage jaundice appropriately.
B. Stooling after each breastfeeding: Stooling after each breastfeeding session is a common and expected occurrence in newborns. Breastfed babies often pass stools frequently, and this is generally not a cause for concern unless there are other associated symptoms.
C. Intermittent crossing of eyes: Occasional intermittent crossing of eyes can be normal in newborns. However, if persistent or accompanied by other concerning signs, it might require evaluation, but it's not typically an immediate concern.
D. Voids eight to ten times per day: A healthy newborn typically voids frequently throughout the day. Eight to ten times per day is within the expected range for a newborn's urinary output and might not be a cause for immediate concern.
Correct Answer is B
Explanation
A. Weak cry: A weak cry is not a specific manifestation associated with newborns exposed to methadone. Methadone-exposed newborns may show signs of neonatal abstinence syndrome (NAS), but a weak cry is not a primary characteristic.
B. Poor feeding: This is the correct answer. Poor feeding is a common manifestation of neonatal abstinence syndrome (NAS) in newborns exposed to opioids, including methadone. NAS can cause gastrointestinal symptoms, including feeding difficulties.
C. Respiratory rate of 30/min: While respiratory issues can be part of the neonatal abstinence syndrome, a specific respiratory rate of 30/min is not universally characteristic. NAS symptoms can vary among infants.
D. Absent Moro reflex: The Moro reflex is not typically affected in infants exposed to methadone. NAS symptoms often involve central nervous system irritability, but the Moro reflex is a complex primitive reflex that may remain intact.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today