The nurse is reviewing discharge instructions with the postpartum client who had a cesarean section 4 days ago and will include which of the following warning signs to report once she is home?
Red, tender area on breast.
Temperature of 100.8°F.
Burning on urination.
Increased lochia rubra.
Correct Answer : A,B,C,D
Choice A rationale
A red, tender area on the breast could indicate mastitis, an infection of the breast tissue. This requires prompt medical attention to prevent complications and provide appropriate treatment, often involving antibiotics.
Choice B rationale
A temperature of 100.8°F is considered a fever and could indicate an infection. Postpartum clients are at risk of infections, including endometritis, and should report any fever to their healthcare provider for further evaluation.
Choice C rationale
Burning on urination could indicate a urinary tract infection (UTI). UTIs are common postpartum due to catheter use and trauma during delivery. This symptom should be reported for evaluation and treatment if necessary.
Choice D rationale
Increased lochia rubra can indicate postpartum hemorrhage or retained placental fragments. Any significant change in bleeding pattern should be reported to ensure timely management and prevent serious complications.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Timing pain medication to avoid affecting the baby is important, but discussing pain management options provides a comprehensive approach.
Choice B rationale
Informing that all medications are found in breast milk can cause unnecessary worry without offering a solution.
Choice C rationale
Allowing the option to avoid pain medication doesn't address the need for effective pain management.
Choice D rationale
Discussing pain management options ensures the mother is aware of safe choices that won't harm breastfeeding.
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale
Respiratory assessment is crucial postpartum, especially with an elevated respiratory rate. It helps detect any respiratory distress or complications early.
Choice B rationale
Hemoglobin level assessment is essential to identify anemia or excessive blood loss during delivery, which can compromise the mother's health.
Choice C rationale
A heart rate of 110/min is above the normal range and might indicate tachycardia, which requires monitoring and possibly intervention.
Choice D rationale
A constant trickle of blood at the vagina could indicate postpartum hemorrhage, necessitating immediate medical attention.
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