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A nurse is providing discharge instructions to a client who is 24 hours postpartum and has decided not to breastfeed.
Which of the following instructions should the nurse include in the teaching?

"Apply ice packs to your breasts using a 15 minutes on, 45 minutes oﬀ schedule.”

"Shower daily, allowing warm water to run directly over your breasts.”

"Wear a loose-fitting nonbinding bra for 72 hours.”

"Pump your breasts twice daily to relieve discomfort from engorgement.”

Answer and Explanation

The Correct Answer is A

“Apply ice packs to your breasts using a 15 minutes on, 45 minutes oﬀ schedule.”

This can help reduce swelling and relieve discomfort from engorgement.

Choice B is incorrect because warm water can increase blood ﬂow and may worsen engorgement.

Choice C is incorrect because a supportive bra can help reduce discomfort from engorgement.

Choice D is incorrect because pumping can stimulate milk production and may worsen engorgement.

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Correct Answer is C

Explanation

Yellow exudate will form at the surgical site in 24 hours.

After a Plastibell circumcision, the penis might develop a yellow-ish discharge which is a normal side eﬀect that should go away in a few days.

Choice A is incorrect because the foreskin may darken around the ring while it remains on the penis until it falls oﬀ naturally in 7-10 days.

Choice B is incorrect because the plastic ring remains on the penis until foreskin falls oﬀ naturally in 7-10 days.

Choice D is incorrect because there is no information found that suggests making sure the newborn’s diaper is snug after a Plastibell circumcision.

A. "This medication stabilizes the fetal heart rate." B. "This medication improves tissue perfusion." C. "This medication prevents seizures." D. "This medication increases cardiac output.”

Correct Answer is C

Explanation

“This medication prevents seizures.” Magnesium sulfate is a mineral that is given intravenously to women with preeclampsia to reduce the risk of seizures or eclampsia.

Preeclampsia is a condition of high blood pressure and protein in the urine during pregnancy.

Choice A is incorrect because magnesium sulfate does not stabilize the fetal heart rate.

Choice B is incorrect because magnesium sulfate does not improve tissue perfusion.

Choice D is incorrect because magnesium sulfate does not increase cardiac output.

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A nurse is providing discharge instructions to a client who is 24 hours postpartum and has decided not to breastfeed. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique. Which of the following information should the nurse include?

Correct Answer is C

Explanation

A nurse is providing teaching about the expected eﬀects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia. Which of the following responses by the nurse is appropriate?

Correct Answer is C

Explanation

A nurse is caring for a client who has a placenta previa. Which of the following findings should the nurse expect?

A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate?

A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal ﬂuid. Which of the following actions should the nurse include in the plan of care?

A nurse is caring for a client who is at 30 weeks of gestation and is receiving magnesium sulfate for preeclampsia. The nurse should recognize which of the following manifestations as an adverse reaction to the medication?

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A nurse is planning care for a client following a chorionic villus sampling. The nurse should recognize that the client is at risk for developing which of the following complications?

A nurse is providing discharge instructions to a client who is 24 hours postpartum and has decided not to breastfeed.
Which of the following instructions should the nurse include in the teaching?