Exam 10: Nursing Care of Women With Complications Following Birth

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A postpartum patient experiences anaphylactic shock.What is the most likely cause?

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C

What will the nurse teach a nursing mother to do to reduce the risk of mastitis? (Select all that apply. )

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B,C,D,E

While caring for a postpartum patient who had a vaginal delivery yesterday,the nurse assesses a firm uterine fundus and a trickle of bright blood.How does the nurse most likely feel and react to this finding?

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A

Although the nurse has massaged the uterus every 15 minutes,it remains flaccid,and the patient continues to pass large clots.What does the nurse recognize these signs indicate?

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Which statement indicates to the nurse on a postpartum home visit that the patient understands the signs of late postpartum hemorrhage?

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The nurse assesses a boggy uterus with the fundus above the umbilicus and deviated to the side.What should the nurse's next assessment be?

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A woman had a vaginal delivery two days ago and is preparing for discharge.What will the nurse plan to teach the woman to report to help prevent postpartum complications?

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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. )

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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.What does the nurse suspect from these symptoms?

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Five days after a spontaneous vaginal delivery,a woman comes to the emergency room because she has a fever and persistent cramping.What does the nurse recognize as the possible cause of these signs and symptoms?

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

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The nurse assesses a positive Homans' sign when the patient's leg is flexed and foot sharply dorsiflexed.Where does the patient report that the pain is felt?

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What is the first sign of hypovolemic shock from postpartum hemorrhage?

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The 1-day postpartum patient shows a temperature elevation,cough,and slight shortness of breath on exertion.What action should the nurse implement based on these symptoms?

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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.What does the nurse recognize as the cause of this woman's symptoms?

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What statement by the patient leads the nurse to determine a woman with mastitis understands treatment instructions?

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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.

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A 4-week postpartum patient with mastitis asks the nurse if she can continue to breastfeed.What is the nurse's most helpful response?

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A woman is diagnosed with a urinary tract infection in the postpartum period.What foods can the nurse encourage to increase the acidity of urine? (Select all that apply. )

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The nurse is caring for a woman who had a cesarean birth yesterday.Varicose veins are visible on both legs.What nursing action is the most appropriate to prevent thrombus formation?

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