Which instruction should be included in the discharge teaching plan to assist the patient in recognizing early signs of complications?
“Palpate the fundus daily to ensure it is soft.”.
“The passage of clots is expected.”.
“Report any decrease in the amount of brownish-red lochia.”.
“Notify the physician of any increase in the amount of lochia or a return to bright red bleeding.”.
The Correct Answer is D
Choice A rationale
A soft uterus indicates uterine atony, a complication rather than a normal finding. Daily fundal palpation ensures involution but should result in a firm, not soft, uterus.
Choice B rationale
Passage of clots is common postpartum, but ongoing monitoring for excessive clotting is crucial as it may indicate retained placental fragments or incomplete uterine involution.
Choice C rationale
Decreased lochia does not indicate complications unless it is completely absent, which may suggest uterine or cervical obstruction and warrants further evaluation.
Choice D rationale
Increased lochia or bright red bleeding signifies secondary postpartum hemorrhage, often caused by retained placental tissue or subinvolution, requiring immediate medical attention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale
Hemabate (carboprost) is a prostaglandin analog that induces uterine contractions, effectively reducing bleeding. It is often used when first-line agents fail to control postpartum hemorrhage.
Choice B rationale
Terbutaline is a tocolytic agent used to delay premature labor by relaxing uterine muscles. It is contraindicated in postpartum hemorrhage as it inhibits uterine contraction, worsening bleeding.
Choice C rationale
Oxytocin stimulates uterine contractions by acting on oxytocin receptors in the myometrium. It is the first-line treatment for postpartum hemorrhage to promote hemostasis through uterine contraction.
Choice D rationale
Methergine (methylergonovine) enhances uterine tone and decreases bleeding by inducing sustained contractions via stimulation of uterine smooth muscle serotonin and alpha-adrenergic receptors.
Correct Answer is C
Explanation
Choice A rationale
Projectile vomiting is not a typical symptom of diaphragmatic hernia. This condition primarily affects respiratory function due to lung compression by abdominal organs in the chest cavity.
Choice B rationale
High-pitched crying is not a hallmark symptom of diaphragmatic hernia. The condition primarily presents with respiratory distress due to lung underdevelopment and organ displacement.
Choice C rationale
Respiratory distress occurs due to lung compression and underdevelopment caused by abdominal organs herniating into the chest cavity. This is a primary symptom observed in diaphragmatic hernia cases.
Choice D rationale
Fecal incontinence is unrelated to diaphragmatic hernia. The condition primarily impacts respiratory function due to the displacement of abdominal organs into the thoracic cavity.
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