Exam 10: Nursing Care of Women with Complications After Birth

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:

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 a boggy uterus with the fundus above the umbilicus and deviated to the side. The nurse should next assess:

The nurse weighs a saturated perineal pad and finds it to weigh 15 grams. The nurse is aware that this indicates a blood loss of _____ mL.

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

The nurse determines that a woman with mastitis understands treatment instructions when she says she will:

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:

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 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.

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

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

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:

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

The nurse's first action when postpartum hemorrhage from uterine atony is suspected is to:

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

By flexing the patient's leg and dorsiflexing the foot, the nurse is:

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

The best response to a postpartum woman who tells the nurse that she feels "tired and sick all of the time since I had the baby 3 months ago" is:

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:

The first sign of hypovolemic shock from postpartum hemorrhage is likely to be: