Which of the following expectations about postpartum changes has the client correctly understood?

“My baby’s stools should transition to a yellow color within the next day or two.”.

“I should anticipate my breasts becoming harder, warmer, and more tender when my milk comes in.”.

“I should expect to feel a decrease in abdominal discomfort over the next few days.”.

“I should anticipate feeling more energetic as my body recovers from childbirth.”. .

Answer and Explanation

The Correct Answer is B

Choice A rationale

While it’s true that a newborn’s stools will transition in color, it typically takes a few days longer than one or two. Initially, the stools are a greenish-black color known as meconium. Over the next few days, as the baby begins digesting breast milk or formula, the stools will gradually transition to a yellow color.

Choice B rationale

This statement is correct. After childbirth, the breasts undergo a process known as engorgement when they start to produce milk. This can cause the breasts to become harder, warmer, and more tender. This is a normal part of the postpartum period and is a sign that the body is preparing to feed the baby.

Choice C rationale

While it’s true that abdominal discomfort generally decreases over time after childbirth, it’s important to note that the rate of decrease can vary greatly among individuals. Factors such as the type of delivery (vaginal or cesarean), individual pain tolerance, and the presence of any complications can all influence the rate of decrease in abdominal discomfort.

Choice D rationale

While it’s true that many women do feel more energetic as their bodies recover from childbirth, this is not always the case. Factors such as sleep deprivation, hormonal changes, and the physical demands of caring for a newborn can all contribute to feelings of fatigue and exhaustion. Therefore, while some women may feel more energetic, others may continue to feel tired for several weeks or even months after giving birth.

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Correct Answer is A

Explanation

Choice A rationale

Methylergonovine is a medication used to prevent postpartum hemorrhage. It works by causing the uterus to contract, which helps to control bleeding and expel any remaining placental fragments.

Choice B rationale

While infection control is important in the postpartum period, methylergonovine is not specifically used to prevent postpartum infection.

Choice C rationale

Methylergonovine does not prevent hypertension. In fact, it can cause hypertension as a side effect.

Choice D rationale

Methylergonovine is not used to prevent thromboembolic events. Its primary use is to prevent and control postpartum hemorrhage.

A. Gravida 4 Para 3 33 weeks of gestation. B. Allergies: Sulfa. C. Height 165 cm (66 in) Weight 82 kg (180 lb) BMI 30.6. D. 32 kg(7 lb) weight gain over the last 2 weeks.

Correct Answer is D

Explanation

Choice A rationale

Gravida 4 Para 3 at 33 weeks of gestation is not an alarming finding. It simply indicates that the woman is pregnant for the fourth time and has had three previous deliveries. This is a normal part of the woman’s obstetric history and does not need to be reported to the provider.

Choice B rationale

Allergies, such as a sulfa allergy, are important to note in the patient’s medical history. However, unless the patient is being prescribed a medication that she is allergic to, this information does not need to be urgently reported to the provider.

Choice C rationale

A height of 165 cm (66 in), weight of 82 kg (180 lb), and BMI of 30.6 are all within normal ranges for a pregnant woman. These measurements are part of routine prenatal care and do not need to be urgently reported to the provider.

Choice D rationale

A weight gain of 32 kg (7 lb) over the last 2 weeks is concerning. Rapid weight gain can be a sign of preeclampsia, a serious pregnancy complication characterized by high blood pressure. This should be reported to the provider immediately.

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Which of the following expectations about postpartum changes has the client correctly understood?

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer methylergonovine IM to a client who experienced a vaginal delivery. The nurse should explain to the client that the purpose of this medication is to prevent which of the following conditions?

Correct Answer is A

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

A nurse in an antepartum clinic is caring for a client who is pregnant. Select the assessment findings the nurse should report to the provider.

Correct Answer is D

Explanation

Choice B rationale

Choice C rationale

Choice D rationale

A nurse is caring for a patient who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise. Which of the following medications should the nurse anticipate the provider will prescribe for the patient?

A nurse in a prenatal clinic is caring for a client who is suspected of having a hydatidiform mole. Which of the following findings should the nurse expect to observe in this client?

A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn. The client reports feeling down and sad, having no energy, and wanting to cry. What should be the nurse’s priority action?

A nurse is caring for a patient who experienced a vaginal birth 3 hours ago. Upon palpation, the fundus is displaced to the right of the midline, is firm, and is two fingerbreadths above the umbilicus. What actions should the nurse complete at this time?

A nurse is caring for a client who gave birth 2 hours ago. The nurse notes that the client’s blood pressure is 60/50 mm Hg. What should be the nurse’s first action?

A nurse is educating the mother of a newborn who was born small for gestational age. Which of the following should the nurse include as a potential cause of this condition?

A nurse is caring for a client who is 1 hour postpartum and observes a large amount of lochia rubra and several small clots on the client’s perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?