A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?

Lentils

Asparagus

oatmeal

Cabbage

Answer and Explanation

The Correct Answer is A

A. Lentils: Lentils are an excellent source of dietary fiber. They provide both soluble and insoluble fiber and are high in protein. One cup of cooked lentils can contain a significant amount of fiber.

B. Asparagus: Asparagus is a nutritious vegetable, but its fiber content is relatively lower compared to lentils. It contains soluble and insoluble fiber, contributing to overall dietary fiber intake.

C. Oatmeal: Oatmeal is a good source of soluble fiber, particularly beta-glucans. While it is a healthy choice for increasing fiber intake, the actual fiber content per cup can vary depending on the type and preparation of oatmeal.

D. Cabbage: Cabbage is a vegetable that contains fiber, but its fiber content per cup is generally lower compared to lentils. It is a good addition to a high-fiber diet but may not provide as much fiber in a single cup serving.

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Correct Answer is B

Explanation

A. The client cleans the perineum with a squeeze bottle after urinating: This action is appropriate for postpartum perineal care. Using a squeeze bottle to cleanse the perineum with warm water after urination helps maintain cleanliness without causing trauma to the area.

B. The client is changing the perineal pad once daily: Changing the perineal pad once daily is not optimal for wound healing. Postpartum perineal wounds require frequent changing of pads to maintain cleanliness, prevent infection, and promote healing.

C. The client is using witch hazel pads on the perineum: Using witch hazel pads is a common practice for postpartum perineal care. Witch hazel has a soothing effect and can help reduce inflammation and discomfort without negatively affecting wound healing.

D. The client's perineal suture line is well-approximated: A well-approximated perineal suture line is a positive finding, indicating that the edges of the wound are properly aligned and closed, which supports the healing process.

A. Administer 500 ml lactated Ringer's IV bolus B. Replace the surgical dressing C. Apply an ice pack to the incision site D. Evaluate urinary output

Correct Answer is D

Explanation

A. Administer 500 ml lactated Ringer's IV bolus:

This choice may be relevant in the context of postpartum hemorrhage, but the first step should be to assess the client's status, including urinary output. Administering fluids without a clear assessment may not address the underlying cause.

B. Replace the surgical dressing:

Vaginal bleeding after a cesarean birth is unlikely to be addressed by replacing the surgical dressing. This action may not address the root cause of the bleeding, which needs further assessment.

C. Apply an ice pack to the incision site:

Using an ice pack is not the appropriate intervention for postpartum bleeding. Ice is typically used for pain and swelling, not for controlling bleeding.

D. Evaluate urinary output:

This is the correct choice. Evaluating urinary output is crucial to assess the client's overall fluid status and kidney perfusion. In the context of postpartum bleeding, it helps determine if there is hypovolemia or other issues contributing to the bleeding. Adequate urinary output is a positive sign of organ perfusion.

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A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postpartum and has a perineal laceration. Which of the following findings places the client at risk for delayed wound healing?

Correct Answer is B

Explanation

A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal message. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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A nurse is planning care for a client who is 12 hr postpartum and has a third-degree perineal laceration. Which of the following interventions should the nurse include in the plan?

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