Exam 10: Nursing Care of Women with Complications After Birth

One day after discharge,the postpartum patient calls the clinic complaining of a reddened area on her lower leg,temperature elevation of 37 ° C (99.8° F),rust-colored lochia,and sore breasts.From these symptoms,the nurse suspects:

Five days after a spontaneous vaginal delivery,a woman comes to the emergency room because she has a fever and persistent cramping.The nurse recognizes that the cause of these signs and symptoms may be:

While caring for a postpartum patient who had a vaginal delivery yesterday,the nurse assesses both a firm uterine fundus and a trickle of bright blood.The nurse is:

The nurse conducting a childbirth preparation class warns the patients that shock,a real threat after delivery,is caused by what factor(s)? Select all that apply.

The statement that would indicate to the nurse on a postpartum home visit that the patient understands the signs of late postpartum hemorrhage is:

In order to reduce the risk of mastitis,what will the nurse teach a nursing mother to do? Select all that apply.

A woman had a vaginal delivery two days ago and is preparing for discharge.To help prevent postpartum complications,the nurse plans to teach the woman to report any:

The nurse assesses a positive Homans sign if the patient complains of pain in the _______ when the patient's leg is flexed and the foot is sharply dorsiflexed.

Three weeks after delivering her first child,a woman tells the nurse,"I waited so long for this baby and now that she is here,I can't believe how different my life is from what I expected." The best nursing response to the woman's statement is:

A woman has had persistent lochia rubra for two weeks after her delivery and is experiencing pelvic discomfort.When subinvolution is diagnosed,the nurse explains that the usual treatment for this disorder is:

The nurse instructs the postpartum patient that her nutritional intake should include which food(s)particularly supportive to healing? Select all that apply.

The new mother who had a vaginal delivery yesterday has a white blood cell count of 30,000 cells/dL.The nurse should:

Although the nurse has massaged the uterus every 15 minutes it remains flaccid,and the patient continues to pass large clots.The nurse recognizes that these signs indicate uterine:

The nurse assesses the perineal pad placed on a 3-hour postdelivery patient and finds that there is no lochia on it.What would the nurse expect to find on further assessment? Select all that apply.

At her 6-week postpartum checkup,a woman mentions to the nurse that she cannot sleep and is not eating.She feels guilty because sometimes she believes her infant is dead.The nurse recognizes this woman's symptoms as:

After a prolonged labor,a woman vaginally delivered a 10 pound,3 ounce infant boy.In the immediate postpartum period,the nurse would be alert for the development of:

If massage and putting the infant to breast is not effective in controlling a boggy uterus,the nurse explains that the physician may order:

The nurse explains that the process of the body returning to the nonpregnant state is called _______________.

The nurse is caring for a woman who had a cesarean birth yesterday.Varicose veins are visible on both legs.To prevent thrombus formation the nurse would:

The one-day postpartum patient shows a temperature elevation,cough,and slight shortness of breath on exertion.Based on these symptoms the nurse should: