The nurse is teaching the patient about breastfeeding.
The nurse knows the following: 1. The hormone responsible for the let-down reflex is:

Choice A rationale

Perineal care for a client who just transferred from labor and delivery is within the scope of practice for a certified nursing assistant (CNA). CNAs are trained to provide basic care, such as hygiene and assistance with activities of daily living, to postpartum clients.

Choice B rationale

Monitoring an area of redness on the incision of a Cesarean section client requires clinical assessment skills beyond the scope of a CNA. It involves evaluating the incision for signs of infection or other complications, which is the responsibility of a registered nurse.

Choice C rationale

Providing discharge instructions, such as using a sitz bath, requires teaching and evaluation skills. Registered nurses are responsible for providing education and ensuring client understanding before discharge.

Choice D rationale

Monitoring for signs of pre-eclampsia involves assessment and interpretation of symptoms such as blood pressure, edema, and proteinuria, which are beyond the scope of a CNA. This is a responsibility of a registered nurse.

Choice A rationale

A macrosomic baby, or a baby with a high birth weight, can stretch the uterus significantly, increasing the risk of postpartum hemorrhage. The overstretched uterus may not contract effectively after birth, leading to excessive bleeding.

Choice B rationale

Uterine involution refers to the process of the uterus returning to its pre-pregnancy size. Effective uterine involution typically reduces the risk of hemorrhage, rather than increasing it, as the contracting uterus helps compress blood vessels and control bleeding.

Choice C rationale

A first-degree laceration is a minor perineal tear that typically heals without significant intervention. While it can cause some bleeding, it is usually not sufficient to lead to postpartum hemorrhage. More severe lacerations (third or fourth degree) pose higher risks.

Choice D rationale

Endometriosis is a condition where tissue similar to the lining inside the uterus grows outside it. It does not directly increase the risk of postpartum hemorrhage. The condition primarily causes pain and fertility issues rather than acute bleeding post-delivery.