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A new mother who is bottle feeding says that she is happy to not have to use birth control for several months after having a baby.What should the nurse say in response?

A.

You won’t need to use it for at least 6 months.

B.

Most people don’t need it for 3 months.

C.

You might ovulate within 27 days.

D.

That’s right.

Answer and Explanation

The Correct Answer is C

Choice A rationale

 

It is incorrect to say that birth control is not needed for at least six months. Ovulation can occur much sooner, and contraception should be discussed early.

 

Choice B rationale

 

Most people do not need birth control for three months is also incorrect. Ovulation can resume as early as three weeks postpartum.

 

Choice C rationale

 

Ovulation can occur within 27 days postpartum, making it important to discuss contraception early to prevent unintended pregnancies.

 

Choice D rationale

 

Agreeing with the statement is incorrect and can lead to misinformation. It is important to provide accurate information about postpartum ovulation and contraception.

 


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Correct Answer is B

Explanation

Choice B rationale

A heart rate of 110/min is a sign of tachycardia, which can indicate a postpartum complication such as infection, hemorrhage, or other underlying conditions. Tachycardia requires immediate assessment and intervention.

Choice A rationale

Chills shortly following delivery can be a normal response to the body’s adjustment after childbirth and do not necessarily indicate a complication.

Choice C rationale

Urinary output of 3,000 mL/12 hr is high but can be a normal part of postpartum diuresis as the body eliminates excess fluid accumulated during pregnancy.

Choice D rationale

The fundus at the umbilicus level is a normal finding in the immediate postpartum period and does not indicate a complication.

Correct Answer is D

Explanation

Choice D rationale

Using a postpartum depression-screening tool with the client is the first action the nurse should take. This tool helps to assess the severity of the client’s symptoms and determine the appropriate level of care. Early identification and intervention are crucial in managing postpartum depression effectively.

Choice A rationale

Arranging for counseling to help the client cope with the stress of being a parent is important, but it is not the first action. Counseling can be part of the treatment plan after the initial assessment using the screening tool.

Choice B rationale

Reinforcing teaching about ways to increase rest and sleep is beneficial for the client’s overall well-being, but it does not address the immediate need to assess the severity of the client’s depressive symptoms.

Choice C rationale

Requesting a prescription for an antidepressant medication may be necessary, but it should be based on the results of the screening tool and a thorough assessment by a healthcare provider.

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