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NUR 230 Exam 3 Questions With Answers.

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NUR 230 Exam 3 Questions With Answers.

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NUR 230 Exam 3 Questions With Answers
// // // // // // //




Upon examining a patient on day 2 after spontaneous vaginal
// // // // // // // // //



delivery, a nurse finds the perineal pad to be completely
// // // // // // // // // //



saturated with bright red blood over the last 15 minutes. The
// // // // // // // // // // //



priority in this scenario is:
// // // // //




A. Start a second intravenous line of Normal Saline
// // // // // // // //




B. Notify the primary health care provider
// // // // // //




C. Massage the fundus
// // //




D. Assess vital signs
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C. Massage the fundus
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The nurse recognizes the following postpartum changes are
// // // // // // //



normal EXCEPT:
// //




A. Low-grade fever (<100.2) in the first 24 hours
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B. Profuse night-time sweating in the first few days postpartum
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C. WBCs of 40,000/mm3
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D. Intense shivering in the first hour postpartum without feeling
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cold
//




C. WBCs of 40,000/mm3
// // //

, Related to uterine involution, the nurse recognizes all of the
// // // // // // // // //



following statements are true EXCEPT:
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A. The fundus descends at a rate of about 1-2 cm every 24
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hours.
//




B. The uterus should not be palpable abdominally after 2 days.
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C. Oxytocin causes the uterus to contract, causing the hemostasis
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of blood vessels in the uterine myometrium.
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D. The most common causes of subinvolution are retained
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placental fragments and infection.
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B. The uterus should not be palpable abdominally after 2 days.
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If a postpartum client complains of extreme perineal pain,
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especially after having received pain medication, the FIRST
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action by the nurse should be:
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A. Notify the provider
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B. Apply an ice pack to the perineum
// // // // // // //




C. Assess the perineum
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D. Check the client's vital signs and fundus
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C. Assess the perineum
// // //

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