The nurse notices the uterus is boggy and the bladder is full. What intervention should the nurse perform next?

Correct Answer: D

Rationale: Step-by-step rationale: 1. A boggy uterus indicates uterine atony, a common cause of postpartum hemorrhage. 2. A full bladder can prevent the uterus from contracting effectively. 3. Massaging the fundus helps stimulate contractions to prevent further bleeding. 4. Assessing lochia provides information on the amount and type of bleeding. 5. This intervention addresses the underlying issue and promotes uterine contraction, reducing the risk of hemorrhage. Other choices are incorrect: A: Calling for help is not the immediate intervention needed to address the uterine atony and full bladder. B: Starting an IV bolus may be necessary later but is not the priority in this situation. C: Getting the person out of bed is not appropriate when managing postpartum hemorrhage; addressing uterine atony is crucial.

Correct Answer: C

Rationale: The correct answer is C: ineffective latch. An ineffective latch during breastfeeding can lead to cracked, sore nipples due to improper positioning and poor attachment of the baby to the breast. This can cause friction and irritation on the nipples, leading to pain and discomfort. It is crucial for the baby to have a deep latch to ensure proper milk transfer and to prevent nipple damage. Summary: A: A hungry infant may lead to more frequent feedings but not necessarily cause cracked, sore nipples. B: Pumping alone does not directly cause cracked, sore nipples; it is more related to how the baby latches during breastfeeding. D: While a lack of supportive bra may contribute to discomfort, it is not the primary reason for cracked, sore nipples.

Correct Answer: A

Rationale: The correct answer is A: Pump between nursing sessions. This intervention helps stimulate milk production by emptying the breasts more frequently. Pumping increases demand for milk, signaling the body to produce more. Nursing every 6 hours (B) reduces milk supply due to less frequent stimulation. Keeping newborn in bassinet (C) limits nursing opportunities. Offering a pacifier (D) may decrease milk supply by reducing nursing frequency. Therefore, option A is the most effective intervention to increase milk supply.

Correct Answer: C

Rationale: The correct answer is C because pain with movement is typically more intense after a cesarean birth compared to a vaginal birth. This is due to the surgery involving abdominal muscles and tissues. Breastfeeding is not discouraged after a cesarean birth; in fact, it is encouraged. Lochia, postpartum bleeding, is not necessarily heavier after a cesarean birth. Gas pain is more commonly associated with cesarean births due to reduced mobility and effects of anesthesia. Therefore, choice C is the most fitting difference between the two types of birth recoveries.

Correct Answer: B

Rationale: The correct answer is B because ambulation after a cesarean birth helps the patient to lose weight. Walking promotes circulation, aids in healing, and can prevent complications such as blood clots and pneumonia. It also helps to restore strength and energy levels. Choices A, C, and D are incorrect because ambulation primarily benefits the patient's overall well-being and recovery, rather than directly preventing DVT, aiding breastfeeding, or decreasing peristalsis.