A breastfeeding client confides in the nurse that since resuming sexual relations, she has had discomfort during intercourse. The nurse's advice should be based on the knowledge that the discomfort is most likely caused by
a. increased maternal fatigue
b. decreased vaginal lubrication
c. trauma to the vaginal mucosa
d. narrowing of the vaginal introitus
B
Vaginal dryness occurs as a result of hormonal influences and can result in dyspareunia. The use of vaginal lubricants can sometimes help alleviate this problem. Fatigue would not cause dyspareunia (pain during intercourse). Trauma to the vaginal mucosa can result in dyspareunia, but trauma is not the most likely cause. While narrowing of the vaginal introitus can result in dyspareunia, the narrowing of the vaginal introitus is temporary until the trauma of the birthing event subsides.
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1. Cardiac glycosides 2. Loop diuretics 3. Sympathomimetic agents 4. Phosphodiesterase inhibitors 5. Angiotension-converting enzyme (ACE) inhibitors
A client is to be weighed on a sling scale. When should the scale be calibrated to zero?
a. before the sling is applied b. when the legs of the scale are underneath the bed c. after the sling is hooked onto the scale d. when the sling is off the bed
A 4-year-old child's respiratory rate is 30 per minute. The mother states, "That seems like a really high number. My healthcare provider told me my respiratory rate is only 16 per minute."
Which of the following is the nurse's best response? 1. "This is a normal finding for your child's age.". 2. "Your child is exhibiting a sign of a respiratory infection.". 3. "Your child requires further assessment.". 4. "Your child may simply be anxious.".