The nurse working in a women’s clinic admits a patient who is almost 6 weeks postpartum and describes a yellow-white vaginal drainage.The nurse interprets this as indicating what?
Fungal infection.
Expected lochia progression.
Retained placenta.
Bacterial infection.
The Correct Answer is B
Choice A rationale
Fungal infections typically present with itching, redness, and a thick, white discharge resembling cottage cheese. The yellow-white vaginal drainage described is more consistent with lochia alba, the final stage of lochia, which is a normal postpartum discharge.
Choice B rationale
Lochia alba is the final stage of lochia, occurring around 10 to 14 days postpartum and lasting up to six weeks. It is characterized by a yellowish-white discharge, indicating the end of the postpartum bleeding process.
Choice C rationale
Retained placenta can cause prolonged bleeding and infection, but it is usually associated with heavy bleeding and not a yellow-white discharge. The presence of lochia alba suggests normal postpartum progression.
Choice D rationale
Bacterial infections often present with a foul-smelling discharge, pain, and fever. The yellow-white discharge described is more indicative of lochia alba, a normal postpartum occurrence.
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Correct Answer is C
Explanation
Choice A rationale
Inserting a urinary catheter is not the first action to take when the fundus is displaced to the right of midline. The displacement is often due to a full bladder, and the client should be encouraged to void first.
Choice B rationale
Massaging the fundus is appropriate if the uterus is boggy, but in this case, the fundus is firm. The displacement is likely due to a full bladder.
Choice C rationale
Having the client urinate is the correct action. A full bladder can displace the uterus and prevent it from contracting properly, which can lead to postpartum hemorrhage.
Choice D rationale
Administering analgesia is not relevant to the issue of a displaced fundus. The priority is to address the cause of the displacement, which is likely a full bladder.
Correct Answer is ["A","B","C"]
Explanation
Choice A rationale
Topical creams can help soothe and promote healing of the episiotomy or laceration site.
Choice B rationale
Sitz baths are effective in reducing pain and promoting healing by increasing blood flow to the perineal area.
Choice C rationale
Ice packs help reduce swelling and provide pain relief in the initial 24 hours post-delivery.
Choice D rationale
Tocolytics are not indicated for episiotomy or laceration care as they are used to suppress preterm labor.
Choice E rationale
Doing nothing is not appropriate as it does not address the pain or promote healing.