A nurse is reinforcing preoperative teaching with a client who is scheduled for a cesarean birth. Which of the following client statements indicates an understanding of the teaching?
"The nurse will take out my urinary catheter 48 hours after surgery."
"The nurse might need to massage my uterus frequently after surgery."
"I can have regular food once I am able to swallow safely."
"I will need to stay flat on my back in bed for the first 24 hours after surgery."
The Correct Answer is B
A. The urinary catheter is usually removed within the first 24 hours after a cesarean birth, not 48 hours. Early removal helps prevent complications and promotes recovery.
B. Uterine massage is performed to prevent postpartum hemorrhage and ensure the uterus is contracting properly. This practice is part of standard postpartum care to promote uterine involution.
C. Postoperative diet progression typically starts with clear liquids and advances as tolerated. Regular food is introduced once the client can swallow safely and shows no signs of nausea or gastrointestinal issues.
D. Staying flat on the back is not required post-cesarean section. Early ambulation is encouraged to prevent complications like deep vein thrombosis and to promote healing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Yogurt is an excellent source of calcium and is recommended to increase calcium intake during pregnancy. Adequate calcium is important for fetal bone development and maternal health.
B. Peanut butter is a good source of protein and healthy fats but is not high in calcium. It does not effectively address a low calcium level compared to dairy products or fortified foods.
C. Long-grain rice is a staple food but does not provide significant amounts of calcium. It is a carbohydrate source rather than a calcium-rich food.
D. Avocados are nutritious and provide healthy fats, but they are not significant sources of calcium. To correct a calcium deficiency, foods rich in calcium are needed.
Correct Answer is B
Explanation
A. Decreased muscle tone is not a typical manifestation of neonatal abstinence syndrome. Symptoms of neonatal abstinence syndrome usually include increased muscle tone and irritability.
B. An exaggerated Moro reflex is a sign of neonatal abstinence syndrome. This reflex can be more pronounced in infants experiencing withdrawal from substances.
C. A weak cry is not characteristic of neonatal abstinence syndrome. Infants with this syndrome may have a high-pitched, excessive, or persistent cry.
D. Neonates with abstinence syndrome are difficult to console. They may have persistent crying and be hard to calm, which contrasts with the ability to console easily.
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