The postpartum nurse has completed discharge teaching for a patient being discharged after an uncomplicated vaginal birth. Which statement by the patient indicates that further teaching is necessary?

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Question 1 of 5

The postpartum nurse has completed discharge teaching for a patient being discharged after an uncomplicated vaginal birth. Which statement by the patient indicates that further teaching is necessary?

Correct Answer: B

Rationale: For some women, ovulation resumes as early as 3 weeks postpartum. Therefore contraceptive measures are important considerations when sexual relations are resumed for lactating and nonlactating women. Further teaching would be needed if the patient does not feel any need for birth control with breastfeeding and supplementing with formula. The first stool usually occurs within 2 to 3 days postpartum. Normal patterns of bowel elimination generally resume by 8 to 14 days after birth.

Question 2 of 5

Which action should the nurse take in order to provide support and encouragement to the new postpartum patient?

Correct Answer: C

Rationale: Positive reinforcement of the mother's attempt to provide care to the newborn will promote a healthy self-concept. The mother needs encouragement during this vulnerable time, not criticism or false reassurance. By praising her efforts, the nurse can help boost the mother's confidence in her caregiving abilities.

Question 3 of 5

If nonsurgical treatment for subinvolution is ineffective, which surgical procedure is appropriate to correct the cause of this condition?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A patient with mastitis is concerned about breastfeeding while she has an active infection. Which is an appropriate response by the nurse?

Correct Answer: B

Rationale: The correct answer is B because the organisms that cause mastitis are localized in the breast tissue and are not passed through the breast milk to the infant. This means that the infant is not at risk of infection from breastfeeding during mastitis. While immunoglobulins in breast milk can protect infants from other infections, they do not protect against the specific organisms causing mastitis. Additionally, gastric acid does not inactivate these organisms.

Question 5 of 5

Which patient data received during report should the nurse recognize as being at risk for postpartum complications?

Correct Answer: A

Rationale: Multiparity (five or more deliveries) is a risk factor for postpartum uterine atony and hemorrhage. A labor duration of 4 hours is not a risk factor because it is not a precipitate labor and birth (less than 3 hours), infant weight of 3800g is not a risk factor because the infant is not macrosomic, and epidural anesthesia is not a risk factor because it does not affect uterine contractions.

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