A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding.
Which of the following statements by the client indicates a need for further teaching?.

"I should crush cabbage leaves and place them on my breasts.”. .

"I should apply hot packs to my breasts during feeding.”. .

"I will apply ice packs to my breasts after feeding.”. .

"I will breastfeed every 2 hours.”.

Answer and Explanation

The Correct Answer is B

The correct answer is choice B.

Choice A rationale:

Cabbage leaves have been used for many years for relief of breast engorgement. They can be crushed slightly until the juice is visible and then chilled in the refrigerator before applying to the breasts.

Choice B rationale:

Applying hot packs during feeding can actually increase blood flow and make engorgement worse. Cold packs should be used after feeding to help reduce swelling.

Choice C rationale:

Applying ice packs after feeding can help reduce swelling and provide relief from engorgement.

Choice D rationale:

Frequent breastfeeding can help to relieve engorgement. The breasts should be emptied completely at each feeding.

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Correct Answer is ["C"]

Explanation

The correct answers are choices C, D, and E.

Choice A rationale:

Constipation is not a sign of labor. It is more commonly associated with pregnancy rather than the onset of labor.

Choice B rationale:

Weight gain is not a sign of labor. In fact, weight gain often stops as labor approaches.

Choice C rationale:

Bloody show is a sign of labor. It is the discharge of the mucus plug that seals the cervix during pregnancy.

Choice D rationale:

Lightening, or the baby dropping into the pelvis, is a sign of labor.

Choice E rationale:

Backache can be a sign of labor, as the muscles and joints stretch and shift in preparation for childbirth.

A. Begins with the time of full cervical dilation (dilatation) and ends with the delivery of the fetus. B. Begins with the time of placental delivery and ends 48 hours later. C. Begins with the time of placental delivery and ends when the health care provider is satisfied that there are no placental fragments. D. Begins with the time of delivery of the fetus and ends with the time of the delivery of the placenta.

Correct Answer is D

Explanation

The correct answer is choice D.

Choice A rationale:

This statement describes the second stage of labor, not the third. The second stage begins with full cervical dilation and ends with the delivery of the fetus.

Choice B rationale:

The third stage of labor does not end 48 hours after the delivery of the placenta. This choice is incorrect.

Choice C rationale:

While it’s important to ensure no placental fragments remain, the third stage of labor technically ends with the delivery of the placenta, not at this later point.

Choice D rationale:

This is the correct definition of the third stage of labor. It begins with the delivery of the fetus and ends with the delivery of the placenta.

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A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding.Which of the following statements by the client indicates a need for further teaching?.

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["C"]

Explanation

Which documentation in the health record is most correct for the third stage of labor?

Correct Answer is D

Explanation

A nurse is caring for a client who gave birth 2 hr ago.The nurse notes that the client's blood pressure is 60/50 mm Hg. Which of the following actions should the nurse take first?.

A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa.Which of the following findings support this diagnosis?.

Utilize the GTPAL system to classify a woman who is currently 18 weeks pregnant.This is her 4th pregnancy.She gave birth to one baby vaginally at 26 weeks who died, experienced a miscarriage, and has one living child who was delivered at 38 weeks gestation.

A nurse is caring for a client on the second day postpartum.The client informs the nurse that she is voiding a large volume of urine frequently.Which factor should the nurse identify as a potential cause for urinary frequency?.

A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor.The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?.

A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia.Which of the following is an expected finding?.

The client is being rushed into the labor and delivery unit. At which station would the nurse document the fetus immediately prior to birth? (Enter a numerical value)

A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding.
Which of the following statements by the client indicates a need for further teaching?.