What assessment finding would indicate a fluid volume deficit?

Correct Answer: A

Rationale: The correct answer is A because skin tenting with testing of skin turgor is a classic sign of fluid volume deficit. When there is a lack of fluid in the body, the skin loses its elasticity, causing it to tent or stay elevated when pinched. This indicates dehydration. Choice B, hypertension, is incorrect because fluid volume deficit typically leads to hypotension, not hypertension. Choice C, bradycardia, is also incorrect as fluid volume deficit usually causes tachycardia to compensate for decreased blood volume. Choice D, bounding pulse, is incorrect as it is associated with fluid overload, not deficit.

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.

Correct Answer: B

Rationale: The correct answer is B: psychosis. Partners of individuals with Paranoid Personality Disorder (PPD) may experience shared psychosis due to the intense distrust and suspicion exhibited by the person with PPD. This can lead partners to develop similar delusions or false beliefs. Depression (A), bipolar disorder (C), and mania (D) are not directly associated with PPD and are less likely to be experienced solely as a result of being in a relationship with someone with PPD.