A postpartum client is being discharged and asks the nurse when she should expect her menstrual period to return if she is not breastfeeding. The nurse's best response is:

Correct Answer: A

Rationale: In the context of postpartum physiology, the correct answer is A) In about 6 to 8 weeks. This timeframe aligns with the typical return of menstruation in non-breastfeeding mothers. Option B) In about 3 to 4 months is incorrect because menstruation usually returns sooner, around 6 to 8 weeks postpartum, not 3 to 4 months. Option C) In about 6 months is incorrect as it is too long a timeframe for the return of menstruation in non-breastfeeding mothers. Option D) In about 1 year is also incorrect because menstruation typically returns much sooner than one year after childbirth if the mother is not breastfeeding. Educationally, understanding the timing of postpartum menstruation is crucial for nurses caring for postpartum clients. This knowledge helps in providing accurate information to clients, supporting their understanding of their postpartum bodies, and assisting them in making informed decisions regarding contraception and family planning.

Correct Answer: A

Rationale: In this scenario, the correct answer is option A) Yellowing of the skin. This finding should be reported to the healthcare provider immediately as it could indicate jaundice in the newborn, which is a common condition caused by elevated bilirubin levels. Jaundice in a newborn can be a sign of various underlying issues such as hemolytic disease, blood type incompatibility, or liver problems, requiring prompt evaluation and management to prevent complications. Option B) Presence of a small amount of blood in the diaper is a common finding in newborns due to maternal hormones and is not typically a cause for concern unless it persists or is in large amounts. Option C) Peeling skin on the hands and feet is a normal physiological process in newborns as they transition from the protected environment of the womb to the external environment, and it does not necessitate immediate reporting to the healthcare provider. Option D) Intermittent episodes of sneezing are common in newborns and are usually due to their immature immune system adapting to the environment. This finding alone does not indicate a need for immediate reporting unless accompanied by other concerning symptoms. Educationally, understanding these findings is crucial for pediatric nurses as they play a vital role in assessing, monitoring, and advocating for the health of newborns. Recognizing abnormal signs early on and knowing when to escalate care is essential to ensure the well-being of the newborn and prevent potential complications.

Correct Answer: C

Rationale: The correct initial action for a postpartum client experiencing heavy lochia and a boggy uterus is to perform fundal massage. Fundal massage helps to firm the uterus and reduce bleeding by promoting uterine contractions, which can assist in preventing postpartum hemorrhage. Administering uterotonic medication may be necessary in some cases but should not be the initial action. Encouraging the client to void and increasing fluid intake can be important interventions but are not the priority in this situation where immediate uterine firmness is needed to control bleeding.

Correct Answer: B

Rationale: In pediatric nursing, it is crucial to educate parents on signs of adequate breastfeeding to ensure the well-being of the newborn. The correct answer is option B) "My baby should wet at least six diapers a day." This statement indicates understanding because adequate breastfeeding leads to frequent urination, and six or more wet diapers a day is a sign that the baby is getting enough milk. Option A) "My baby should have a bowel movement once a week" is incorrect as breastfed babies typically have multiple bowel movements a day in the early months. Option C) "My baby should feed for 5 minutes on each breast" is incorrect because it's important for babies to feed until they are satisfied, which may take longer than 5 minutes. Option D) "My baby should sleep through the night without waking up to feed" is incorrect as newborns need to feed every few hours for proper nourishment and growth. Educationally, emphasizing the importance of monitoring urine output as a sign of adequate breastfeeding helps parents understand the baby's nutritional intake and overall health. This knowledge empowers parents to recognize signs of adequate feeding and seek help if needed, promoting successful breastfeeding and infant well-being.

Correct Answer: A

Rationale: In pediatric nursing, it is crucial to understand the signs and symptoms of hypoglycemia in newborns. The correct answer is A) Jitteriness. Jitteriness is a common manifestation of hypoglycemia in newborns due to the central nervous system being highly sensitive to glucose levels. This symptom indicates that the newborn's brain is not receiving enough glucose for proper function. Option B) Flushed skin is incorrect because hypoglycemia typically presents with pale or cyanotic skin due to decreased perfusion. Option C) Quiet alert state is incorrect because hypoglycemic newborns are more likely to be lethargic or irritable rather than quiet and alert. Option D) Strong cry is incorrect because hypoglycemic newborns are more likely to have weak or high-pitched cries due to decreased energy levels. Educationally, understanding these signs of hypoglycemia is essential for early identification and prompt intervention to prevent potential neurological damage in newborns. Nurses must be vigilant in assessing newborns for subtle signs of hypoglycemia to provide timely and appropriate care.