Postpartum NCLEX Style Questions with solutions.

A nurse is preparing a list of self-care instructions for a postpartum client who was diagnosed with mastitis. Which of the following instructions would be included on the list? A. Wear a supportive bra B. Rest during the acute phase C. Maintain a fluid intake of at least 3000 ml D Continue to breast-feed if the breasts are not too sore. E. Take the prescribed antibiotics until the soreness subsides. F. Avoid decompression of the breasts by breast-feeding or breast pump. correct answers A, B, C, D Client instructions include resting during the acute phase, maintaining a fluid intake of at least 3000ml/day (if not contraindicated), taking analgesics to relieve discomfort. Antibiotics may be prescribed and are taken UNTIL THE COMPLETE PRESCRIBED COURSE IS FINISHED. Additional supportive measures include the use of moist heat or ice packs and wearing a supportive bra. CONTINUED DECOMPRESSION of the breast by breast-feeding or breast pump is important to empty the breast and prevent the formation of an abscess. A nurse is teaching a postpartum client about breast-feeding. Which of the following instructions should the nurse include? A. The diet should include additional fluids B. Prenatal vitamins should be discontinued C. Soap should be used to cleanse the breasts. D. Birth control measures are unnecessary while breast-feeding. correct answers A. A diet for a breast-feeding patient should include additional fluids. Prenatal vitamins should be taken as prescribed and soap should not be used on the breast because it removes natural oils which increases the chance of cracked nipples. Breast-feeding is not a sole method of contraception, so birth control measures should be resumed. A postpartum client is diagnosed with cystitis .The nurse plans for which priority nursing intervention in the care of the client? A. Providing Sitz baths B. Encouraging fluid intake C. Placing ice on the perineum D. Monitoring hemoglobin and hematocrit levels. correct answers B. Cystitis is an infection of the bladder. The client should consume 3000ml/day if not contraindicated. Sitz baths and ice would be appropriate interventions for perineal discomfort. H&H would be monitored with hemorrhage.