{"id":136367,"date":"2024-09-10T14:26:29","date_gmt":"2024-09-10T14:26:29","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=136367"},"modified":"2024-09-10T14:26:31","modified_gmt":"2024-09-10T14:26:31","slug":"a-woman-who-delivered-a-normal-newborn-24-hours-ago-reports","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/10\/a-woman-who-delivered-a-normal-newborn-24-hours-ago-reports\/","title":{"rendered":"A woman who delivered a normal newborn 24 hours ago reports"},"content":{"rendered":"\n

A woman who delivered a normal newborn 24 hours ago reports, “I seem to be urinating every hour or so. Is that OK?” Which action should the practical nurse (PN) implement?<\/p>\n\n\n\n

A.
Catheterize the client for residual urine volume<\/p>\n\n\n\n

B.
Measure the next voiding, then palpate the client’s bladder<\/p>\n\n\n\n

C.
Evaluate for normal involution, then massage the fundus<\/p>\n\n\n\n

D.
Obtain a specimen for urine culture and sensitivity<\/p>\n\n\n\n

The Correct Answer and Explanation is :<\/mark><\/strong><\/p>\n\n\n\n

The correct answer is B. Measure the next voiding, then palpate the client’s bladder<\/strong>.<\/p>\n\n\n\n

Explanation<\/h3>\n\n\n\n

Postpartum urinary changes are not uncommon, and frequent urination in the first 24 hours after delivery can be a normal physiological response. Here’s a breakdown of why option B is the most appropriate action in this scenario:<\/p>\n\n\n\n

    \n
  1. Normal Postpartum Changes:<\/strong> After childbirth, women often experience increased urinary output due to several factors:\n
      \n
    • Fluid Shifts:<\/strong> During pregnancy, the body retains extra fluids to support the growing fetus. After delivery, these fluids shift back into the bloodstream and are then excreted through the kidneys and urinary tract.<\/li>\n\n\n\n
    • Diuresis:<\/strong> The body undergoes a process called postpartum diuresis, where it eliminates the excess fluid accumulated during pregnancy. This can result in frequent urination, which is typically a normal part of postpartum recovery.<\/li>\n<\/ul>\n<\/li>\n\n\n\n
    • Assessment Approach:<\/strong> Measuring the next voiding and palpating the bladder is an appropriate initial assessment. This allows the practical nurse (PN) to:\n
        \n
      • Confirm Bladder Function:<\/strong> By measuring the volume of the next voiding, the PN can determine if the client is producing a normal amount of urine.<\/li>\n\n\n\n
      • Assess for Retention:<\/strong> Palpating the bladder helps assess for any potential urinary retention, which might indicate a problem such as bladder distension or incomplete emptying.<\/li>\n<\/ul>\n<\/li>\n\n\n\n
      • Why Not the Other Options:<\/strong>\n
          \n
        • A. Catheterize the Client for Residual Urine Volume:<\/strong> Catheterization should be reserved for cases where there is a clear indication of urinary retention or other complications. In this situation, the frequent urination might be a normal response, and catheterization could be unnecessary and uncomfortable.<\/li>\n\n\n\n
        • C. Evaluate for Normal Involution, Then Massage the Fundus:<\/strong> While fundal massage is crucial for uterine involution, it does not directly address the urinary symptoms and might not provide relevant information regarding urinary output.<\/li>\n\n\n\n
        • D. Obtain a Specimen for Urine Culture and Sensitivity:<\/strong> This action is more appropriate if there were signs of urinary tract infection (UTI) such as dysuria, urgency, or fever. Frequent urination alone, without other symptoms, does not typically indicate a UTI.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n

          Therefore, the best approach is to measure the next voiding and palpate the bladder to ensure the urinary function is normal and to assess if further intervention is needed based on the findings.<\/p>\n","protected":false},"excerpt":{"rendered":"

          A woman who delivered a normal newborn 24 hours ago reports, “I seem to be urinating every hour or so. Is that OK?” Which action should the practical nurse (PN) implement? A.Catheterize the client for residual urine volume B.Measure the next voiding, then palpate the client’s bladder C.Evaluate for normal involution, then massage the fundus […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-136367","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/136367","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=136367"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/136367\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=136367"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=136367"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=136367"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}