A nurse is providing discharge teaching to a client who is 3 days postoperative following a cesarean birth. Which of the following client statements indicates to the nurse that further teaching is needed??

"I am likely to have a fever during the first week I am home."

"I will call my provider if I have discharge from my incision."

"I should not have unrelieved pain in my abdomen."

"I will resume taking my prenatal vitamins."

Answer and Explanation

The Correct Answer is A

A.   Having a fever during the first week at home is not a normal or expected finding and may indicate an infection, requiring further assessment.
B.   Contacting the provider for incisional discharge is a proper response.
C. Not having unrelieved pain in the abdomen is an appropriate expectation.
D.   Resuming prenatal vitamins is a normal postoperative recommendation.

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Correct Answer is D

Explanation

A. Vernix caseosa is a white, cheese-like substance covering the baby's skin.
B. Erythema toxicum neonatorum is a benign rash that appears in the early days of life.
C. Harlequin sign is a transient color change in a newborn, not related to blue hands and feet.
D. Acrocyanosis is a common and temporary condition where the hands and feet may appear blue due to poor peripheral circulation. It is not typically a sign of coldness.

A. Breasts soft and non-tender B. Urine output of 3,000 mL in 12 hr C. Fundus palpable at the umbilicus D. Heart rate 128/min

Correct Answer is D

Explanation

A. Soft and non-tender breasts are a normal finding in the early postpartum period.
B. A urine output of 3,000 mL in 12 hours is within the normal range.
C. A fundus palpable at the umbilicus may be normal within the first few hours after childbirth.
D. A heart rate of 128/min may indicate a postpartum complication, such as hemorrhage or infection, and requires further assessment.

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A nurse is providing discharge teaching to a client who is 3 days postoperative following a cesarean birth. Which of the following client statements indicates to the nurse that further teaching is needed??

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A new mother states that her infant must be cold because the baby’s hands and feet are blue. This common and temporary condition is called what?

Correct Answer is D

Explanation

A nurse is caring for a client who is 12 hr postpartum. Which of the following findings should alert the nurse to the possibility of a postpartum complication?

Correct Answer is D

Explanation

A nurse is providing teaching about newborn care to a client who is 2 hr postpartum. Which of the following statements by the client indicates a need for further teaching?

A nurse in the newborn nursery is caring for a group of newborns. Which of the following newborns requires immediate intervention?

A nurse is caring for a newborn immediately following birth. After assuring a patent airway, what is the priority nursing action?

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A nurse is caring for a client who is postpartum. The nurse should recognize which of the following statements by the client as an indication of inhibition of parental attachment?

A nurse is reinforcing teaching about reducing perineal infection with a client following a vaginal delivery. Which of the following should the nurse include in the teaching? (Select all that apply.)

Which documentation on a woman's chart on postpartum day 14 indicates a normal involution process?