A nurse is providing instructions for a client at 4 weeks postpartum visit, the client should contact her provider for which of the following findings?
Decreased response with sexual activity
a scant non-odorous white vaginal discharge
uterine cramping during breastfeeding
a moderate serosanguineous malodorous discharge
The Correct Answer is D
A. Decreased response with sexual activity – Incorrect; decreased libido is common postpartum and not an urgent concern.
B. A scant non-odorous white vaginal discharge – Incorrect; lochia alba (whitish discharge) is normal at 4 weeks postpartum.
C. Uterine cramping during breastfeeding – Incorrect; cramping (due to oxytocin release) is expected postpartum.
D. A moderate serosanguineous malodorous discharge – Correct; foul-smelling lochia can indicate endometritis (a postpartum infection).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Halfway between the symphysis pubis and the umbilicus. – Correct; at 16 weeks, the fundus is typically midway between the symphysis pubis and the umbilicus.
B. Just above the pubic bone – Incorrect; the fundus is at the pubic symphysis at 12 weeks, not 16 weeks.
C. The uterus would not be palpable at 16 weeks – Incorrect; the uterus is palpable by 12 weeks and grows above the symphysis pubis as pregnancy progresses.
D. At the umbilicus – Incorrect; the fundus reaches the umbilicus at 20 weeks, not 16 weeks.
Correct Answer is B
Explanation
A. Passageway – Incorrect; the provider states she has a roomy pelvis, meaning the passageway is adequate.
B. Powers – Correct; contractions are infrequent (every 10 minutes), short (30-40 sec), and mild, which may not be strong enough to promote cervical dilation and descent of the fetus.
C. Psyche – Incorrect; the patient is calm and relaxed, which supports labor progression.
D. Passenger – Incorrect; the baby is in an optimal (ROA) position and at +1 station, indicating normal progression.
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