The nurse is educating a client about postpartum warning signs. Which symptom requires immediate medical attention?

Correct Answer: C

Rationale: The correct answer is C: Fever of 101°F and foul-smelling lochia. This combination indicates a possible infection like endometritis, which can be life-threatening if not promptly treated. Fever is a sign of systemic infection, and foul-smelling lochia suggests an infected uterus. Immediate medical attention is crucial to prevent complications. A: Increased lochia after breastfeeding is common and not necessarily alarming unless it is excessive or accompanied by other symptoms. B: Perineal discomfort on day 3 postpartum is expected due to the healing process and does not typically require immediate medical attention. D: Mild fatigue and trouble sleeping are common postpartum symptoms but do not indicate a medical emergency unless they are severe or persistent.

Correct Answer: B

Rationale: The correct answer is B: depression and anxiety. Unintended pregnancies can lead to mental health issues like depression and anxiety due to the emotional, financial, and social stress associated with unplanned parenthood. This aligns with the goal of Healthy People 2030 to improve pregnancy planning. Choice A is incorrect because while lost jobs can be a consequence of unintended pregnancy, it is not directly related to the mental health aspect targeted by this HP goal. Choice C is incorrect as increased BMI and weight gain are not typically cited as negative outcomes directly related to unintended pregnancy prevention. Choice D is incorrect as while unintended pregnancies can lead to increased healthcare costs, it does not specifically address the mental health aspect targeted by the HP goal.

Correct Answer: B

Rationale: The correct answer is B: There could be a decrease in bone mineral density over time. Progesterone-only pills have been associated with a potential decrease in bone density, especially with long-term use. This is because progesterone can have a negative impact on calcium absorption, leading to bone weakening. A: Side effects could be increased for persons who are underweight - This is not a specific disadvantage of progesterone-only pills and can apply to any contraceptive method. C: They may cause irregular bleeding and spotting - This is a common side effect of progesterone-only pills but not a significant disadvantage compared to bone density issues. D: Return to fertility after discontinuing the pill may take several months - This is a temporary effect and not a long-term disadvantage like decreased bone density.

Correct Answer: A

Rationale: The correct answer is A. The statement "The medication could cause me to experience heart palpitations" indicates understanding because terbutaline, a beta-agonist used to stop preterm labor, can indeed cause heart palpitations as a common side effect due to its impact on the cardiovascular system. This shows the client has grasped a potential side effect of the medication. The other choices are incorrect: B: "This medication could cause me to experience blurred vision" - Blurred vision is not a common side effect of terbutaline. C: "This medication could cause me to experience ringing in my ears" - Ringing in the ears is not a common side effect of terbutaline. D: "This medication could cause me to experience frequent " - Incomplete statement, not indicating understanding of a specific side effect.

Correct Answer: B

Rationale: The correct answer is B: The mother is Rh negative, and the father is Rh positive. This combination can lead to hemolytic disease in newborns due to Rh incompatibility. If the mother is Rh negative and the father is Rh positive, there is a chance that the fetus may inherit the Rh-positive factor from the father, causing the mother's immune system to produce antibodies against the Rh factor in subsequent pregnancies, potentially leading to hemolytic disease in newborns. Incorrect choices: A: The mother is Rh positive, and the father is Rh negative - This combination does not result in Rh incompatibility as the fetus will not inherit the Rh-negative factor from the father. C: The mother and the father are both Rh positive - Rh incompatibility occurs when the mother is Rh negative and the father is Rh positive, so this choice is incorrect. D: The mother and the father are both Rh negative - In this case, there is no Rh incompatibility present,