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 D

Explanation

Choice A rationale

Covering the cord with the diaper can create a moist environment that promotes bacterial growth and delays healing.

Choice B rationale

Washing the cord daily with mild soap and water is not recommended. It’s better to keep the cord dry and clean.

Choice C rationale

Applying petroleum jelly to the cord stump is not advised. It can create a moist environment that can delay the drying and falling off of the stump.

Choice D rationale

Giving a sponge bath until the cord stump falls off is the correct instruction. This prevents the stump from getting wet, which can delay healing and increase the risk of infection.

A. 5 cm above the umbilicus B. Slightly below the umbilicus C. 3 cm below the umbilicus D. Slightly above the umbilicus

Correct Answer is D

Explanation

The correct answer is choiced. Slightly above the umbilicus.

Choice A rationale:

At 22 weeks of gestation, the fundus is not typically 5 cm above the umbilicus. This measurement would be more consistent with a later stage of pregnancy, around 28 weeks.

Choice B rationale:

The fundus being slightly below the umbilicus is more consistent with an earlier stage of pregnancy, around 20 weeks. At 22 weeks, the fundus should be higher.

Choice C rationale:

The fundus being 3 cm below the umbilicus is also indicative of an earlier stage of pregnancy, not 22 weeks. This would be expected around 18-20 weeks.

Choice D rationale:

At 22 weeks of gestation, the fundus is typically located slightly above the umbilicus.This corresponds with the general rule that the fundal height in centimeters should match the number of weeks of pregnancy, give or take 2 cm.

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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 teaching a newborn’s parent to care for the umbilical cord stump. Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

Choice B rationale

Choice C rationale

Choice D rationale

A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. At which location should the nurse expect to palpate the fundus?

Correct Answer is D

Explanation

A nurse is assessing a client in labor who has had epidural anesthesia for pain relief. Which of the following findings should the nurse identify as a complication from the epidural block?

A nurse is caring for a newborn who is 72 hours old. The newborn has a Neonatal Abstinence Scoring System (NAS) score of 20. The nurse is planning to contact the provider regarding the newborn’s status.Which of the following prescriptions should the nurse anticipate?

A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client’s amniotic membranes are intact. The client suddenly states that she needs to push. What action should the nurse take?

A nurse is caring for a client who is in active labor when the client’s membranes rupture. The fetal monitor tracing shows late decelerations. What is the first action the nurse should take?

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 providing care for a newborn diagnosed with hydrocephalus. Which of the following symptoms should the nurse anticipate?