Correct Answer: A

Rationale: Lochia serosa (pinkish-brown discharge) on day 1 postpartum is abnormal and should be reported, as lochia is typically rubra (bright red) for the first 3-4 days; serosa usually appears around day 4-10, and early serosa may indicate retained placental fragments or infection.
Choice B is wrong because a firm fundus 2 cm below the umbilicus is a normal finding, indicating appropriate uterine involution.
Choice C is wrong because mild perineal discomfort during ambulation is expected, especially after a vaginal delivery, and does not require immediate reporting unless severe or accompanied by other symptoms.
Choice D is wrong because breast tenderness when breastfeeding is common in the early days as milk comes in and does not typically require reporting unless severe or associated with signs of mastitis.

Correct Answer: A

Rationale: Increasing dietary fiber prevents constipation, a common side effect of hydrocodone, an opioid that slows gastrointestinal motility.
Choice B is incorrect because grapefruit juice can interact with some medications but does not enhance hydrocodone absorption and may increase side effects.
Choice C is incorrect because driving should be avoided while taking hydrocodone, as it can cause drowsiness and impair coordination, regardless of time of day.
Choice D is incorrect because hydrocodone typically causes sedation, not increased energy levels.

Correct Answer: B

Rationale: Monitoring aPTT (activated partial thromboplastin time) is essential for clients receiving heparin, as it measures the therapeutic effect of heparin on the intrinsic clotting pathway, ensuring the dose is within the therapeutic range (1.5-2.5 times the baseline).
Choice A is incorrect because INR is used to monitor warfarin, not heparin.
Choice C is incorrect because, while platelet count should be monitored to detect heparin-induced thrombocytopenia, aPTT is the primary test for heparin therapy.
Choice D is incorrect because heparin does not directly affect potassium levels; electrolyte monitoring is not a priority.

Correct Answer: A

Rationale: This is because boundaries can help the client and family to respect each other's roles, needs, and preferences, and to avoid role confusion, resentment, or guilt. Boundaries can also promote independence and self-care for the client, as well as prevent caregiver burnout for the family.
Choice B is wrong because minimizing open discussion regarding the changes can lead to misunderstanding, frustration, or isolation. The client and family should communicate openly and honestly about their feelings, expectations, and challenges to foster mutual understanding and support.
Choice C is wrong because encouraging authoritative communication from the adult child can create a power imbalance and undermine the client's autonomy and dignity. The client and family should use collaborative and respectful communication to make decisions and solve problems together.
Choice D is wrong because decreasing socialization with extended relatives until roles are identified can isolate the client and family from their social support network. Socialization with extended relatives can provide emotional, practical, and informational support, as well as a sense of belonging and identity for the client and family.

Correct Answer: A

Rationale: A WBC count of 2,500/mm3 is below the normal range (5,000-10,000/mm3) and indicates leukopenia, a common side effect of chemotherapy that increases infection risk, requiring immediate reporting to the provider for potential interventions like growth factors or antibiotics.
Choice B is wrong because a hemoglobin of 12 g/dL is within the normal range for females (12-16 g/dL) and does not require reporting.
Choice C is wrong because a platelet count of 150,000/mm3 is within the normal range (150,000-400,000/mm3) and does not indicate thrombocytopenia.
Choice D is wrong because a potassium level of 4.0 mEq/L is within the normal range (3.5-5.0 mEq/L) and does not require reporting.