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Exam (elaborations)

Maternity

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A nurse is planning care for a client who is postpartum. Which of the following strategies should the nurse include in the plan to prevent bladder distention? ! A. Withhold analgesics to prevent urinary retention v B. Run water in the sink while the client sits on the toilet X (Q) C. Perform Credé's maneuver every 4 hours (_) D. Restrict oral hydration Graded Response: Incorrect Correct Answer: B. Run water in the sink while the client sits on the toilet Peer Co Al Running water in the sink, placing the client's hand in warm water, and using a squeeze bottle to run water over the client's perineum can 5 . assist with spontaneous voiding. Incorrect Answers: A. The nurse should administer analgesics as needed to decrease the client's pain during voiding. C. Credé's maneuver is used for clients who are not expected to regain voluntary bladder control. D. Clients who are postpartum will have increased urine output and are at risk for bladder distention. Restricting oral hydration will not prevent bladder distention. A nurse is calculating a pregnant client's estimated date of delivery using Naegele's rule. The client's last menstrual period started on January 20. Which of the following is the client's expected date of delivery? X (’) A. October 13 {_ ) B.November 13 v {_J C.October 27 {_ ) D. November 27 Graded Response: Incorrect Correct Answer: C. October 27 Peer Comparison ol Naegele's rule involves subtracting 3 months from the first day of the last menstrual period and adding 7 days. 8 | incorrect Answers: c I A. An expected date of delivery of October 13 would follow a last menstrual period date of January 6. D I B. An expected date of delivery of November 13 would follow a last menstrual period date of February 6. D. An expected date of delivery of November 27 would follow a last menstrual period date of February 20.

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