A nurse is preparing a sitz bath for a client who is 1 day postpartum. Which of the following actions should the nurse take?

Instruct the client to relax her gluteal muscles when entering the bath.

Check on the client every 30 min during the bath.

Set the water temperature to 40° C (104° F).

Fill the bath 3% full of water.

Answer and Explanation

The Correct Answer is C

a. Instructing the client to relax her gluteal muscles is not necessary for the sitz bath.

b. Checking on the client every 30 minutes is too infrequent; the nurse should monitor the client more closely. Continuous supervision ensures the patient’s safety and immediate assistance if needed. Maintaining consistent water temperature maximizes the therapeutic benefits and prevents discomfort.

c. Sitz baths are used to cleanse and soothe the perineal area, especially after childbirth. Warm water promotes blood flow, reduces inflammation, and helps with healing. A temperature of 40° C (104° F) is considered safe and effective for this purpose.

d. Fill clean bath with about one-third full with warm water. Using a clean tub and the correct water level helps to provide a hygienic and comfortable environment for the patient. The sitz bath should be filled to a level that covers the perineal area.

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Correct Answer is D

Explanation

At 22 weeks of gestation, the uterine fundus is typically located at or near the level of the umbilicus. Fundal height generally corresponds to gestational age in centimeters, so at 22 weeks, the fundus is expected to be approximately 22 cm from the pubic symphysis, which aligns with the umbilicus.

A. 3 cm below the umbilicus: This is too low, as the fundus at 22 weeks should be at or slightly above the umbilicus.
B. 5 cm above the umbilicus: This is too high, as the fundus typically reaches this level closer to 24–26 weeks.
C. 3 cm above the umbilicus: This is slightly higher than expected for 22 weeks, though the fundus may be just above the umbilicus in some cases.
D. At the umbilicus: This is the most accurate, as the fundus is typically at the level of the umbilicus at 20–22 weeks.

Final Answer: D. At the umbilicus

A. The newborn's skin turgor B. The number of wet diapers per day C. The fit of the newborn's clothes D. How often the newborn cries

Correct Answer is B

No explanation

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A nurse is preparing a sitz bath for a client who is 1 day postpartum. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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