The nurse assesses the initial lochia post-delivery which is known as:
Rubra.
Fontanalis.
Serosa.
Alba.
The Correct Answer is A
The initial lochia post-delivery is known as lochia rubra.
Lochia is the vaginal discharge that occurs after childbirth and consists of blood, mucus, uterine tissue, and other materials from the uterus.
There are three stages of lochia: lochia rubra, lochia serosa, and lochia alba.
Lochia rubra is dark or bright red in color and lasts for about three to four days after delivery.
Choice B is not an answer because Fontanalis is not a term related to lochia.
Choice C is not an answer because lochia serosa is the second stage of lochia and occurs after lochia rubra.
Choice D is not an answer because lochia alba is the last stage of lochia and occurs after lochia serosa.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
“You should place your baby on her back when sleeping to decrease the risk of SIDS.” According to Mayo Clinic, placing a baby on their back to sleep is one of the most important measures that can be taken to help protect a child from SIDS1.
Choice A is incorrect because there is no evidence that SIDS is directly correlated to diphtheria, tetanus, and pertussis vaccines.
Choice B is incorrect because SIDS rates have actually decreased dramatically since the American Academy of Pediatrics issued its safe sleep recommendations in 19922.
Choice C is incorrect because while sleep apnea may contribute to breathing problems, it is not considered the main cause of SIDS1.
Correct Answer is C
Explanation
The nurse should check for blood under the client’s buttocks.
A small amount of lochia rubra on the client’s perineal pad 4 hours postpartum is normal.
The fundus being midline and firm at the umbilicus is also a normal finding.
Choice A is incorrect because assisting the client to ambulate is not necessary at this time.
Choice B is incorrect because there is no need to increase the rate of IV fluids.
Choice D is incorrect because performing a fundal massage is not necessary since the fundus is already firm and midline.
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