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Postpartum Exam with Complete Solutions
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Postpartum Exam with Complete Solutions
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Postpartum Exam with Complete SolutionsA multiparous client whose fundus is firm and midline at the umbilicus 8 hours after a vaginal
birth tells the nurse that when she ambulated to the bathroom after sleeping for 4 hours, her
dark red lochia seemed heavier. Which information would the nurse include when explaining
to the client about the increased lochia on ambulation? Correct Ans-The increased lochia
occurs from lochia pooling in the vaginal vault.
The nurse is caring for a client on her second postpartum day. The nurse should expect the
client's lochia to be Correct Ans-red and moderate.
A multiparous client, 28 hours after cesarean birth, who is breastfeeding has severe cramps or
afterpains. The nurse explains that these are caused by which factor? Correct Ans-release
of oxytocin during the breastfeeding session
During the immediate postpartum period after giving birth to twins, the client experiences
uterine atony. What should the nurse do first? Correct Ans-Gently massage the fundus.
A client has just given birth to her first child, a healthy, full-term girl. The client is Rho(D)-
negative and her neonate is Rh-positive. What intervention will be performed to reduce the
, Postpartum Exam with Complete Solutions
risk of Rh incompatibility? Correct Ans-Administration of Rho(D) immune globulin I.M. to
the mother within 72 hours
A nurse coming onto the night shift assesses a client who gave birth vaginally that morning.
The nurse finds that the client's vaginal bleeding has saturated two perineal pads within 30
minutes. What is the first action the nurse should take? Correct Ans-Assess the fundus and
massage it if it's boggy.
After giving birth to a viable neonate 12 hours ago, the client's fundus is firm at midline, and
her breasts are soft. She has scant lochia and she is voiding sufficiently. The client reports pain
in her lower back. What should the nurse do next? Correct Ans-Administer a prescribed
mild analgesic.
When preparing a teaching plan for a client who is to receive a rubella vaccine during the
postpartum period, the nurse should include which information? Correct Ans-Pregnancy
should be avoided for 4 weeks after the immunization.
A client gave birth vaginally 2 hours ago and has a third-degree laceration. There is ice in place
on her perineum. However, her perineum is slightly edematous, and the client is reporting
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