A breastfeeding woman, 1 1/2 months postdelivery, calls the nurse in the obstetrician 's office and states, 'I am very embarrassed but I need help. Last night I had an orgasm when my husband and I were making love. You should have seen the milk. We were both soaking wet. What is wrong with me? ' The nurse should base the response to the client on which of the following?

Correct Answer: B

Rationale: The correct answer is B) The same hormone stimulates orgasms and the milk ejection reflex. This response is based on the understanding of the hormone oxytocin, which plays a crucial role in both sexual response and milk ejection during breastfeeding. Oxytocin is released during sexual arousal and orgasm, as well as during breastfeeding to facilitate the let-down reflex, causing milk to be ejected from the breasts. Option A is incorrect because the scenario described does not indicate pathological galactorrhea, which is characterized by spontaneous, persistent, and excessive milk production unrelated to breastfeeding or childbirth. Option C is incorrect as galactosemia is a rare genetic disorder affecting the body's ability to metabolize galactose, not relevant to the situation described. Option D is incorrect because the baby's stimulation does play a role in milk production, but the scenario specifically focuses on the woman's experience during sexual activity, not the baby's nursing habits. In an educational context, understanding the physiological processes related to lactation, hormones, and sexual response postpartum is crucial for healthcare providers to offer accurate and supportive information to breastfeeding mothers experiencing unexpected or concerning symptoms. This knowledge helps in addressing concerns, providing reassurance, and promoting the overall well-being of the mother and baby.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Reassure the woman that this is normal. Postpartum diaphoresis, also known as night sweats, is a common occurrence due to hormonal shifts and the body's efforts to eliminate excess fluid accumulated during pregnancy. Option A) Taking the woman's temperature is unnecessary unless there are other symptoms present that indicate a need for it, as diaphoresis alone does not indicate a fever. Option B) Advising the woman to decrease her fluid intake is not appropriate as staying hydrated is important postpartum, especially if she is breastfeeding. Option D) Notifying the neonate's pediatrician is unnecessary for the woman's diaphoresis as it is a normal physiological response to postpartum changes. Educationally, understanding the normal postpartum physiological changes helps nurses provide appropriate care and reassurance to new mothers, promoting their physical and emotional well-being during this crucial period.

Correct Answer: B

Rationale: In the context of pharmacology, understanding the importance of Kegel exercises during the postpartum period is crucial for nurses to educate their patients effectively. Option B, which states that the woman should practice by stopping the urine flow midstream every time she voids, is the correct choice. This option is correct because it accurately describes the process of performing Kegel exercises. Stopping the urine flow midstream helps the woman identify the correct muscles to contract, which are the pelvic floor muscles. By regularly practicing this technique, women can strengthen their pelvic floor muscles, which can help prevent urinary incontinence and promote faster recovery after childbirth. The other options are incorrect for several reasons. Option A, contracting and relaxing rectal and thigh muscles, does not target the pelvic floor muscles specifically, which are the muscles involved in Kegel exercises. Option C, getting on hands and knees, is not necessary for performing Kegel exercises and may confuse the patient. Option D, linking toned pubococcygeal muscles to decreased blood loss, is a misleading statement as Kegel exercises primarily target pelvic floor muscle strength and are not directly related to blood loss. In an educational context, nurses must provide accurate and evidence-based information to empower women to take control of their postpartum recovery. By explaining the correct method of performing Kegel exercises, nurses can help women improve their pelvic floor muscle strength and overall well-being during the postpartum period.

Correct Answer: B

Rationale: In the postpartum period, Lochia alba is the expected discharge 2 weeks after delivery. Lochia alba is the final stage of lochia, characterized by a yellowish-white discharge containing leukocytes, decidual tissue, and mucus. This discharge indicates normal healing of the uterine lining post-delivery. Diaphoresis, excessive sweating, is common in the immediate postpartum period as the body eliminates excess fluid accumulated during pregnancy. However, it typically decreases by 2 weeks postpartum. Cracked nipples are common breastfeeding complications but are not specifically expected at 2 weeks postpartum. Hypertension is not a typical sign of the postpartum period unless it is related to a pre-existing condition like chronic hypertension or preeclampsia. Educationally, understanding the expected physiological changes in the postpartum period is crucial for nurses to provide appropriate care and education to new mothers. Recognizing normal postpartum signs and symptoms helps in early identification of complications, promoting maternal well-being and preventing unnecessary anxiety.

Correct Answer: B

Rationale: In the postpartum period, the most critical assessment for a recently delivered breastfeeding client, like G10 P6408, is the assessment of the fundus (Option B). The fundus assessment helps in evaluating the uterine tone and detecting any excessive bleeding or potential uterine atony, a common complication after childbirth. A firm fundus indicates proper involution of the uterus, which is crucial for preventing postpartum hemorrhage. Pulse (Option A) is important but not as immediate as assessing the fundus in the early postpartum period. Monitoring the bladder (Option C) is essential to prevent urinary retention, but it is not as urgent as assessing the fundus. Breast assessment (Option D) is important for breastfeeding success but is not the priority immediately after delivery in terms of preventing complications like postpartum hemorrhage. Educationally, understanding the significance of timely fundus assessment postpartum is crucial for nurses and healthcare providers caring for postpartum clients. It highlights the importance of early detection and intervention in preventing life-threatening complications. This knowledge equips nurses to provide safe and effective care to postpartum clients and promotes positive maternal outcomes.