During a care conference, a nurse shares the latest research on improving breastfeeding success for first-time mothers.
Which Quality and Safety Education for Nurses competency does this action support?

Choice A rationale

Aspirin is not typically recommended for cramps following a D&C. Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen are usually suggested for pain relief. Aspirin can increase the risk of bleeding, which is not desirable after a surgical procedure like a D&C2.

Choice B rationale

Products of conception will not be present in vaginal bleeding after a D&C. The purpose of a D&C is to remove tissue from the uterus, including any remaining products of conception following a miscarriage.

Choice C rationale

While a balanced diet is always important, there’s no specific recommendation for an increased intake of zinc-rich foods following a D&C. Good nutrition can support healing, but there’s no need to focus specifically on zinc.

Choice D rationale

Vaginal intercourse can be resumed after 2 weeks following a D&C. This allows time for the cervix to close and any post-procedure bleeding to stop. It’s also important to prevent infection.

Choice A rationale

Inserting an indwelling urinary catheter is not the priority nursing action in this situation. While it may be necessary later in the care process, it is not the immediate concern when the client is experiencing a large amount of painless, bright red vaginal bleeding at 38 weeks of gestation. The priority is to stabilize the client and ensure the well-being of the fetus.

Choice B rationale

Witnessing the signature for informed consent for surgery is an important step before any surgical procedure. However, it is not the priority nursing action in this situation. The client’s condition could deteriorate rapidly due to the bleeding, and immediate medical interventions are necessary to stabilize the client and fetus.

Choice C rationale

Preparing the abdominal and perineal areas may be necessary if the client requires a surgical intervention. However, this is not the priority nursing action. The client is experiencing significant bleeding, and the priority is to stabilize the client’s condition.

Choice D rationale

Initiating IV access is the priority nursing action in this situation. The client is experiencing a large amount of painless, bright red vaginal bleeding, which could lead to hypovolemia and shock. IV access allows for the rapid administration of fluids and medications to stabilize the client’s condition.