A nurse is reviewing the laboratory results of a client who is scheduled for a cesarean delivery.
Which of the following values should the nurse report to the provider?
Hemoglobin of 11 g/dL
Platelets of 80,000/mm3
White blood cells of 12,000/mm3
Blood type A positive.
The Correct Answer is B
The correct answer is choice B. The client can use patient-controlled analgesia to self-administer opioids. This is a form of multimodal analgesia, which is the core principle for cesarean delivery pain management.
Patient-controlled analgesia allows the client to have control over their pain relief and adjust the dose according to their needs.
Choice A is wrong because the client may experience delays in receiving analgesics if they have to request them from the nurse, which can lead to inadequate pain relief and increased opioid consumption.
Choice C is wrong because ice packs are not recommended for cesarean delivery pain management, as they may interfere with wound healing and increase the risk of infection.
Choice D is wrong because deep breathing and relaxation exercises are not sufficient to manage acute postoperative pain, although they may be helpful as adjuncts to pharmacologic methods.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
The correct answer is choices A, B, C and E. These behaviors by the client indicate effective bonding because they show affection, attention, communication and comfort to the newborn.
Holding the newborn close to her chest promotes skin-to-skin contact and warmth.
Making eye contact with the newborn fosters visual recognition and attachment.
Talking to the newborn in a soft voice stimulates auditory development and soothes the newborn.
Stroking the newborn’s hair and skin enhances tactile stimulation and bonding.
Choice D is wrong because handing the newborn to a family member when crying does not indicate effective bonding.
It shows that the client is unable or unwilling to cope with the newborn’s needs and emotions.
It may also interfere with the establishment of breastfeeding and maternal-infant attachment.
The client should try to calm the newborn by holding, rocking, feeding or changing him or her.
Correct Answer is B
Explanation
The correct answer is choice B. Mothers may be at increased risk for poor bonding with the newborn.This is because cesarean delivery can interfere with the natural hormonal and physiological processes that facilitate maternal-infant attachment, such as skin-to-skin contact, breastfeeding initiation, and oxytocin release.Cesarean delivery can also cause more pain, stress, and anxiety for the mother, which can affect her emotional availability and responsiveness to the newborn.
Choice A is wrong because mothers do not necessarily have more problems with parenting skills after cesarean delivery.
Parenting skills depend on many factors, such as education, support, personality, and motivation.
Cesarean delivery may pose some challenges for postpartum recovery and care, but it does not imply that mothers are less competent or capable of parenting.
Choice C is wrong because mothers can breastfeed right away after cesarean delivery, unless there are medical contraindications or complications.
Breastfeeding is beneficial for both the mother and the newborn, as it provides nutrition, immunity, comfort, and bonding.However, breastfeeding after cesarean delivery may require more assistance and support from health care providers and family members, as well as alternative positions and techniques to avoid pain and discomfort.
Choice D is wrong because mothers do not necessarily resent the health care team member for keeping the newborn in the nursery.
Mothers may appreciate the help and care that the health care team member provides for them and their newborns.
However, keeping the newborn in the nursery may delay or reduce the opportunities for maternal-infant interaction and bonding.
Therefore, it is recommended to promote early and frequent contact between the mother and the newborn after cesarean delivery, as long as it is safe
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today