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After a client has a C-section she needs to get up and take short walks to prevent what?

A.

Hemorrhage.

B.

Blood clots.

C.

Breast engorgement.

D.

Rupture of amniotic membranes.

Answer and Explanation

The Correct Answer is B

Choice A rationale

 

Hemorrhage is not prevented by walking. Hemorrhage management involves monitoring and medical interventions, not ambulation.

 

Choice B rationale

 

Walking helps prevent blood clots by promoting circulation. Postoperative patients are encouraged to ambulate early to reduce the risk of deep vein thrombosis (DVT) and pulmonary embolism.

 

Choice C rationale

 

Breast engorgement is managed through breastfeeding or pumping, not walking. Ambulation does not directly affect breast engorgement.

 

Choice D rationale

 

Rupture of amniotic membranes is not relevant postpartum. This condition is related to labor and delivery, not postoperative care.


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View Related questions

Correct Answer is A

Explanation

Choice A rationale

Completely emptying each breast at each feeding or using a pump helps prevent milk stasis, which can lead to mastitis. Ensuring the breasts are fully emptied reduces the risk of blocked ducts and infection.

Choice B rationale

Nursing on only the unaffected breast can lead to engorgement and worsening of mastitis in the affected breast. It is important to continue breastfeeding on both sides to maintain milk flow and prevent complications.

Choice C rationale

Wearing a tight-fitting bra can restrict milk flow and exacerbate mastitis. A well-fitting, supportive bra is recommended to avoid further complications.

Choice D rationale

Limiting the time the infant nurses on each breast can lead to incomplete emptying and increase the risk of mastitis. It is important to ensure the breasts are fully emptied to prevent infection.

Correct Answer is B

Explanation

Choice A rationale

Obtaining a prescription for an antibiotic is not the first recommendation for a client who is 3 days postpartum and breastfeeding with hard and warm breasts. Antibiotics are typically prescribed if there is a confirmed infection, such as mastitis, which is characterized by symptoms like fever, chills, and flu-like symptoms. In this case, the client is experiencing normal postpartum breast engorgement, which does not require antibiotics.

Choice B rationale

Expressing milk from both breasts is the correct recommendation. Breast engorgement is common in the early postpartum period as the milk comes in. Expressing milk, either by breastfeeding frequently or using a breast pump, helps to relieve the fullness, reduce discomfort, and maintain milk production.

Choice C rationale

Wearing a nipple shield is not recommended for breast engorgement. Nipple shields are typically used for issues like latch difficulties or sore nipples, not for relieving engorgement. Using a nipple shield without proper guidance can potentially interfere with milk transfer and breastfeeding success.

Choice D rationale

Applying a heating pad to the breasts is not recommended for engorgement. Heat can increase blood flow and exacerbate swelling. Instead, cold compresses or cold cabbage leaves are often recommended to reduce swelling and discomfort associated with engorgement.

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