Exam 10: Nursing Care of Women With Complications Following Birth

The 1-day postpartum patient shows a temperature elevation, cough, and slight shortness of breath on exertion. Based on these symptoms the nurse should:

The nurse instructs the postpartum patient that her nutritional intake should include foods which are particularly supportive to healing, such as: Select all that apply.

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:

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 nurse conducting a childbirth preparation class warns the patients that shock is a real threat after delivery due to: Select all that apply.

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

When the nurse flexes the patient's leg and dorsiflexes the foot, the nurse is: Select all that apply.

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 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:

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

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

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

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

During a postpartum assessment, a woman reports that her right calf is painful. The nurse observes edema and redness along the saphenous vein in the right lower leg. Based on this finding, the nurse explains that the probable treatment will involve:

At her 6-week postpartum checkup, a woman mentions to the nurse that she can't sleep and she is not eating. She feels guilty because sometimes she wishes her baby would die. The nurse recognizes this woman's symptoms as:

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:

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

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

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:

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