A multigravid, postpartum woman reports severe abdominal cramping whenever she nurses her baby. Which of the following responses by the nurse is appropriate?

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Complication Postpartum Questions

Question 1 of 5

A multigravid, postpartum woman reports severe abdominal cramping whenever she nurses her baby. Which of the following responses by the nurse is appropriate?

A. Suggest that the woman bottle feed for a few days. B. Instruct the patient on how to massage her fundus. C. Instruct the patient to feed using an alternate position. D. Discuss the action of breastfeeding hormones.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

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?

A. The woman is exhibiting signs of pathological galactorrhea. B. The same hormone stimulates orgasms and the milk ejection reflex. C. The woman should have a serum galactosemia assessment done. D. The baby is stimulating the woman to produce too much milk.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A breastfeeding client, 7 weeks postpartum, complains to an obstetrician 's triage nurse that when she and her husband had intercourse for the first time after the delivery, 'I couldn 't stand it. It was so painful. The doctor must have done something terrible to my vagina. ' Which of the following responses by the nurse is appropriate?

A. After a delivery the vagina is always very tender. It should feel better the next time you have intercourse. ' B. Does your baby have thrush? If so, you should be assessed for a yeast infection in your vagina. ' C. Women who breastfeed often have vaginal dryness. A vaginal lubricant may remedy your discomfort. ' D. Sometimes the stitches of episiotomies heal too tight. Why don 't you come in to be checked? '

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A woman, 24 hours postpartum, is complaining of profuse diaphoresis. She has no other complaints. Which of the following actions by the nurse is appropriate?

A. Take the woman 's temperature. B. Advise the woman to decrease her fluid intake. C. Reassure the woman that this is normal. D. Notify the neonate 's pediatrician.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

The nurse is discussing the importance of doing Kegel exercises during the postpartum period. Which of the following should be included in the teaching plan?

A. She should repeatedly contract and relax her rectal and thigh muscles. B. She should practice by stopping the urine flow midstream every time she voids. C. She should get on her hands and knees whenever performing the exercises. D. She should be taught that toned pubococcygeal muscles decrease blood loss.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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