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 D
Explanation
Choice D rationale
Assisting the client to void is the first action the nurse should take. A full bladder can cause the fundus to deviate to the right and become boggy. Voiding helps the uterus contract and return to its normal position.
Choice A rationale
Inserting an indwelling urinary catheter may be necessary if the client is unable to void, but it is not the first action.
Choice B rationale
Administering methylergometrine to the client is not the first action. This medication stimulates uterine contractions and can help reduce postpartum bleeding, but the initial step is to address the full bladder.
Choice C rationale
Obtaining a stat hemoglobin level is important if there is a concern for significant blood loss, but it is not the first action.
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.