pn-NCLEX postpartum Exam with Verified Solutions 2024/2025

pn-NCLEX postpartum Exam with Verified Solutions 2024 a client who is breastfeeding her newborn infant is experiencing nipple soreness. To relieve the soreness which action should the nurse suggest to the client - Answer -begin feeding on the less sore nipple and your mother is attempting to breastfeed for the first time. The nurse notices that they client has inverted nipples. Which nursing action can the nurse take to assist the client in breastfeeding the newborn - Answer -provide breast shield in assisting mother with using a breast pump before each feeding to make the nipples easier for the newborn to grasp the nurse in the postpartum unit is instructing a mother regarding lochia and the amount of expected lochia drainage. The nurse instructs the mother that the normal amount of lochia may vary but should never exceed which amount - Answer -8 pads per day the nurse provides home care instructions to a postpartum client following a vaginal birth with episiotomy. Which statement by the client indicates the need for further teaching - Answer -I can resume sexual activity at any time a postpartum client who delivered at 32 weeks of gestation would like to breastfeed her preterm infant. At this time the infant is receiving tube feedings only. What is the nurses best response to the mother - Answer -you can begin pumping as soon as possible after delivery with an electric breast pump the nurse caring for a woman who has delivered a baby after pregnancy with a placenta previa. Which complication would the client be at risk for - Answer -postpartum hemorrhage oxytocin is prescribed to be administered intravenously to client after cesarean delivery. The nurse understands that which is the action of the medication - Answer -to stimulate the uterus to contract this reducing possible blood loss a pregnant client experienced a uterine rupture with subsequent fetal death. After ensuring that the client is physiologically stable the nurse should take which approach as the first step to support the client physiologically - Answer -collect data regarding how the client receive the event a postpartum nurse obtain C vital signs on a mother who delivered a healthy newborn 2 hours ago. Then mothers temperature is 100 °F. what is the initial nursing action - Answer -encourage oral fluid intake the nurse is monitoring a new mother in the fourth stage of labor for signs of hemorrhage. Which side noted in the mother would indicate an early sign of excessive blood loss and shock - Answer -an increase in the pulse rate from 80 to 102 beats per minuteon the second postpartum day at mother complains of burning on urination, urgency, and frequency of urination. A urine sample is collected for urinalysis and the results indicate the presence of a urinary tract infection. The nurse reinforces instructions to the new mother regarding measures to take for the treatment of the infection. Which statement by the mother indicates the need for further teaching - Answer -foods and fluids that will increase your and alkalinity should be consumed a delivery room nurse collects data on a mother who just delivered a healthy newborn infant. The nurse checks the uterine fundus expecting to note which uterine fundus position - Answer -at the level of the umbilicus it has been 12 hours since the delivery of a newborn. The nurse assesses the mother for the process of evolution and documents that it is progressing normally when palpation of the client's fundus is noted at which level - Answer -1 a new mother attempting breastfeeding for the first time has development status. She states my breasts look terrible and I think that I will stop breastfeeding. The nurse plans care knowing that the client is concerned about which problem - Answer -body image the nurse in a postpartum unit identifies which client as being at risk for developing endometritis following delivery - Answer -an adolescent experiencing an emergency cesarean delivery for fetal distress the nurse is preparing to care for a woman in the immediate postpartum.