PAPER COMPLETE SOLUTIONS VERIFIED
◉ During ambulation to the bathroom, a postpartum client experiences a
gush of dark red blood that soon stops. On assessment, a nurse finds the
uterus to be firm, midline, and at the level of the umbilicus. Which of the
following findings should the nurse interpret this data as being? Answer:
A normal postural discharge of lochia
◉ A nurse is completing postpartum discharge teaching to a client who
had no immunity to varicella and was given the varicella vaccine. Which
of the followings statements by the client indicates understanding of the
teaching? Answer: "I need a second vaccination at my postpartum visit"
◉ A nurse is assessing a postpartum client for fundal height, location,
and consistency. The fundus is noted to be displaced laterally to the
right, and there is uterine atony. The nurse should identify which of the
following conditions as the cause of uterine atony? Answer: Urinary
retention
◉ A nurse is providing edu to a client who is 2hr postpartum and has
perineal laceration. Which of the following info should nurse include?
Answer: -use a perineal squeeze bottle to cleanse the perineum
-apply a topical anesthetic cream or spray to the perineum
-apply cold or ice packs to the perineum
, ◉ A nurse concludes that the parent of a newborn is not showing
positive indications of parent-infant bonding. The parent appears very
anxious and nervous when asked to bring the newborn to the other
parent. Which of the following actions should the nurse use to promote
parent-infant bonding? Answer: provide edu about infant care when
parent is present
◉ A client in the early postpartum period is very excited and talkative.
They repeatedly tell the nurse every detail of labor and birth. Because
the client will not stop talking, the nurse is having difficulty completing
the postpartum assessments. Which of the following actions should
nurse take? Answer: Give the client time to express feelings
◉ A nurse is caring for a client who is 1 day postpartum. The nurse is
assessing for maternal adaptation and parent-infant bonding. Which of
the following behaviors indicates a need for nurse to intervene? Answer:
-demonstrates apathy when the newborn cries
-views newborn's behavior as uncooperative during diaper changes
◉ A nurse is caring for a client who is 2 days postpartum. The client
states, "My 4 yr old son was toilet trained and now he is frequently
wetting himself." Which of the following statements should the nurse
provide to client? Answer: "Your son is showing an adverse sibling
response"
◉ A nurse in the delivery room is planning to promote parent-infant
bonding for a client who just delivered. Which of the following is the