A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation.
Which of the following findings should the nurse identify as a contraindication to the use of a suppository?

Abdominal distention

Afterpains

Vaginal candidiasis

Third-degree perineal laceration.

Answer and Explanation

The Correct Answer is D

A third-degree perineal laceration is a tear that extends through the vaginal tissue, perineal skin, and perineal muscles and involves the anal sphincter.

This type of laceration requires careful repair and management to prevent complications such as infection, fecal incontinence, and pain.
Choice A is incorrect because abdominal distention is not a contraindication to the use of a suppository.
Choice B is incorrect because afterpains are common postpartum uterine contractions and are not a contraindication to the use of a suppository.
Choice C is incorrect because vaginal candidiasis is a fungal infection and is not a contraindication to the use of a suppository.

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Correct Answer is C

Explanation

The Babinski reﬂex, also known as the plantar reﬂex, is a normal reﬂex in infants
that occurs when the sole of the foot is stroked from heel to toe.

In response to this stimulus, the big toe moves upward or toward the top surface of the foot and the other toes fan out.

Choice A is not an answer because ﬂexion of the forearm is not a response to stimulation of the foot.
Choice B is not an answer because downward curl of the toes is not a response
to stimulation of the foot.
Choice D is not an answer because extension of the leg is not a response to
stimulation of the foot.

A. Inactivated inﬂuenza. B. Human papillomavirus. C. Varicella. D. Measles, mumps, and rubella. E. Diphtheria-acellular pertussis.

Correct Answer is ["A","E"]

Explanation

The nurse should plan to immunize the client with the inactivated inﬂuenza vaccine (A) and the diphtheria-acellular pertussis vaccine (E).

The Centers for Disease Control and Prevention (CDC) recommends that pregnant women get two vaccines during every pregnancy: the inactivated ﬂu vaccine and the Tdap vaccine.

The other vaccines listed are not recommended during pregnancy:

The human papillomavirus vaccine is not recommended during pregnancy.
The varicella vaccine is not recommended during pregnancy.
The measles, mumps, and rubella vaccine is not recommended during pregnancy.

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A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing an assessment of a newborn's Babinski reﬂex. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is caring for a client who is at 30 weeks of gestation. The nurse should plan to immunize the client with which of the following vaccines? (Select all that apply.)

Correct Answer is ["A","E"]

Explanation

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A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation.
Which of the following findings should the nurse identify as a contraindication to the use of a suppository?