Exam 17: Postpartum Physiologic Adaptations

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If the client's white blood cell (WBC) count is 25,000/mm³ on her second postpartum day, which action should the nurse take?

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Which is the best measure to prevent abdominal distention following a cesarean birth?

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In which area should the nurse expect that the postbirth care of a cesarean section will differ from that of a vaginal birth?

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The postpartum nurse has completed discharge teaching for a client being discharged after an uncomplicated vaginal birth. Which statement by the client indicates that further teaching is needed?

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The nurse is conducting discharge teaching for a client going home after a cesarean birth. Which signs and symptoms should the client be taught to report? (Select all that apply.)

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When assessing the A of the acronym REEDA, the nurse should assess the:

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A postpartum client asks, "Will these stretch marks go away?" Which is the nurse's best response?

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If the fundus is palpated on the right side of the abdomen above the expected level, the nurse should suspect that the client has which?

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To assess fundal contraction 6 hours after cesarean birth, which action should the nurse perform?

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A postpartum client overhears the nurse tell the health care provider that she has a positive Homans sign and asks what it means. Which is the nurse's best response?

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A pregnant client asks when the dark line on her abdomen (linea nigra) will go away. The nurse knows the pigmentation will decrease after birth because of:

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The nurse is performing a postpartum assessment on a client and concludes with the assessment depicted in the figure. Which is the rationale for performing the depicted assessment? The nurse is performing a postpartum assessment on a client and concludes with the assessment depicted in the figure. Which is the rationale for performing the depicted assessment?

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The nurse is providing care to a patient 2 hours after a cesarean section. In the hand-off report, the preceding nurse indicated that the patient's lochia was scant rubra. On initial assessment, the oncoming nurse notes the patient's peripad is saturated with lochia rubra immediately after breastfeeding her infant. What is the nurse's priority action with this finding?

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To facilitate adequate urinary elimination during the postpartum period, the nurse should incorporate which intervention in the plan of care?

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The nurse is caring for a client who delivered by cesarean birth 6 hours ago. The nurse assesses light bilateral rales when auscultating lung sounds. Which priority action should the nurse take?

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The nurse is providing care to a patient who delivered a 3525-g infant 14 hours ago. The nurse palpates the fundus of the uterus as firm and at the umbilicus. What is the nurse's priority action related to this finding?

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