Which documentation on a woman's chart on postpartum day 14 indicates a normal involution process?

Moderate bright red lochial flow

Fundus below the symphysis and nonpalpable

Episiotomy slightly red and puffy

Breasts firm and tender

Answer and Explanation

The Correct Answer is B

A.   Moderate bright red lochial flow on postpartum day 14 may indicate excessive bleeding and is not indicative of normal involution.
B.   A fundus below the symphysis and nonpalpable suggests a well-contracted uterus, which is indicative of normal involution.
C. An episiotomy that is slightly red and puffy on day 14 may indicate ongoing healing, but it is not a direct measure of uterine involution.
D.   Breasts that are firm and tender on postpartum day 14 may indicate engorgement, but they are not directly related to uterine involution.

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Correct Answer is C

Explanation

A. Acrocyanosis is a normal finding in newborns and does not require immediate intervention.
B. Not passing meconium within the first 24 hours is not uncommon and may be normal.
C. Persistent tachycardia in a newborn, especially with a heart rate of 180 bpm, requires immediate intervention as it may indicate a cardiac or other medical issue.
D. Not voiding within the first 24 hours may be normal, but it should be monitored.

A. Infants fed on formula should be started on solid food sooner than breastfed infants B. Infants should be given only human milk for the first 6 months of life. C. After 6 months, mothers should shift from breast milk to cow's milk D. If infants are weaned from breast milk before 12 months, then they should receive cow's milk, not formula.

Correct Answer is B

Explanation

A. The introduction of solid food is recommended at similar times for both breastfed and formula-fed infants.
B. The AAP recommends exclusive human milk feeding for the first 6 months of life.
C. After 6 months, complementary foods are introduced, not a shift to cow's milk.
D. If weaned before 12 months, formula is a suitable alternative to breast milk.

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Which documentation on a woman's chart on postpartum day 14 indicates a normal involution process?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the newborn nursery is caring for a group of newborns. Which of the following newborns requires immediate intervention?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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