The nurse is providing postpartum care for an adolescent mother and her family. Which factor is most important for the nurse to consider when planning teaching about neonatal care?

Correct Answer: D

Rationale: The correct answer is D. It is crucial for the nurse to present information on neonatal care in an age-appropriate manner as the mother is an adolescent. This is important to ensure effective communication and understanding. Choice A does not directly impact the neonatal care teaching. Choice B focuses on the parents' expectations, not the neonatal care itself. Choice C emphasizes the father's involvement but does not address the approach to teaching the adolescent mother about neonatal care.

Correct Answer: C

Rationale: The correct answer is C: Symmetrically round external os. At 6 weeks postpartum, the cervix should have healed, and the external os should appear symmetrically round. This indicates proper healing and restoration of the cervix to its pre-pregnancy state. Small lacerations (choice A) would not be expected at this point as healing should have occurred. A dilation of 3 cm (choice B) is not appropriate as the cervix should be closed postpartum. A firm and thick cervix (choice D) would not be expected as the cervix should have softened and returned to its normal consistency by this time.

Correct Answer: D

Rationale: Correct Answer: D Rationale: 1. Ice pack application helps reduce swelling and pain in the perineal area post-tear. 2. Ice packs can promote vasoconstriction, reducing bleeding risk. 3. Ice packs are non-invasive and can offer immediate relief. Summary: A: Assessing vital signs every 4 hours is important but not directly related to perineal tear care. B: Keeping the patient NPO for 12 hours is unnecessary and may lead to dehydration. C: Catheterization is not typically required for perineal tear care unless there are specific indications.

Correct Answer: B

Rationale: The correct answer is B: "Perform Kegel exercises." Kegel exercises are specifically designed to strengthen the pelvic floor muscles, which can help improve bladder control and support the pelvic organs postpartum. Ambulating and aerobics classes focus on overall body movement but not specifically on pelvic muscle strengthening. Passive range-of-motion exercises are beneficial for joint flexibility but do not target the pelvic muscles directly. Therefore, instructing the postpartum woman to perform Kegel exercises is the most appropriate recommendation to address her specific needs for pelvic muscle strengthening.

Correct Answer: C

Rationale: The correct answer is C: The client will have a moderate lochia flow. This is the highest priority because excessive or scant lochia flow can indicate postpartum hemorrhage or retained placental fragments, which are serious postpartum complications. Ensuring a moderate lochia flow is essential for assessing the woman's postpartum recovery and preventing potential complications. Choice A (The client will wear a well-supported bra) is not a priority in the immediate postpartum period and does not directly impact the woman's physical health. Choice B (The client will eat 100% of her meals) is important for the woman's nutrition and recovery but is not as critical as monitoring the lochia flow to prevent complications like hemorrhage. Choice D (The client will ambulate to the bathroom) is important for preventing complications like blood clots and promoting circulation, but monitoring the lochia flow takes precedence in the immediate postpartum period to assess for any signs of hemorrhage or infection.