A nurse is caring for a postpartum person who is experiencing a boggy uterus. What is the most appropriate action to take?

Correct Answer: A

Rationale: The correct action is to perform uterine massage. This helps to prevent postpartum hemorrhage by promoting uterine contraction and reducing uterine atony. It stimulates the release of endogenous oxytocin, aiding in the expulsion of clots and reducing bleeding. Administering uterotonic medications (choice B) would be the next step if uterine massage alone is ineffective. Perineal massage (choice C) is unrelated to managing a boggy uterus. Administering oral pain relief (choice D) does not address the root cause of the issue.

Correct Answer: B

Rationale: The correct answer is B: provide skin-to-skin contact. This is the most appropriate intervention because it promotes bonding, regulates the baby's temperature, and enhances breastfeeding success by stimulating the baby's natural instincts. Assisting with latching (choice A) may be necessary but providing skin-to-skin contact should be prioritized. Educating on breast care (choice C) and postpartum care (choice D) are important, but the immediate need is to establish successful breastfeeding through skin-to-skin contact.

Correct Answer: B

Rationale: The correct answer is B: administer IV fluids. IV fluids help maintain adequate hydration which prevents blood from becoming too thick and reduces the risk of clot formation. Adequate hydration also promotes blood circulation, decreasing the risk of DVT. Administering anticoagulants (choice A) is important in managing DVT but is not the most important preventive intervention. Performing leg exercises (choice C) and ensuring early ambulation (choice D) are also beneficial in preventing DVT, but maintaining hydration with IV fluids is the most crucial intervention as it directly addresses the primary factor contributing to DVT formation.

Correct Answer: A

Rationale: The correct answer is A: apply lanolin cream. Lanolin cream helps soothe and moisturize nipples, relieving pain. It is safe for breastfeeding and does not need to be removed before nursing. Choice B is incorrect because ensuring a proper latch helps prevent nipple pain but does not directly alleviate it. Choices C and D are not appropriate interventions for nipple pain in breastfeeding individuals as antibiotics and analgesics can have negative effects on the infant through breast milk.

Correct Answer: B

Rationale: The correct answer is B: pain and swelling in the leg. Thrombophlebitis is inflammation of a vein due to a blood clot, commonly occurring in the lower extremities. Pain and swelling are classic symptoms due to the clot obstructing blood flow. Redness and heat may be present but are not as specific. Hardening of the calf is not a common sign. Heat intolerance in the leg is not a typical symptom of thrombophlebitis.