A client who is breast-feeding her newborn tells the nurse, "I notice that when I feed him, I feel fairly strong contraction-like pain. Labor is over. Why am I having contractions now?" Which response by the nurse would be most appropriate?
A) "Your uterus is still shrinking in size; that's why you're feeling this pain.".
B) "Let me check your vaginal discharge just to make sure everything is fine.".
C) "Your body is responding to the events of labor, just like after a tough workout.".
D) "The baby's sucking releases a hormone that causes the uterus to contract.".
D
Feedback:
The woman is describing afterpains, which are usually stronger during breast-feeding because oxytocin released by the sucking reflex strengthens uterine contractions. Afterpains are associated with uterine involution, but the woman's description strongly correlates with the hormonal events of breast-feeding. All women experience afterpains, but they are more acute in multiparous women secondary to repeated stretching of the uterine muscles.
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A patient presents at the walk-in clinic in extreme fear. The nurse knows that phobia rarely occurs unless that patient
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Penny has a headache, so she takes a 250-mg tablet of aspirin to alleviate the pain. After a while, she begins to feel nauseous. What is the reason for this occurrence?
A. A headache is not an indication for the use of aspirin. B. Aspirin causes a buildup of COX-2 inhibitors in the body. C. A dose of 250 mg is double the recommended dose for an adult. D. Aspirin is known to irritate the stomach mucosal lining.
The slowing down of body processes is why older adults have special needs and why drug ________ must be adjusted for age.
Fill in the blank(s) with the appropriate word(s).