100% ACCURATE ANSWERS
which complication would the nurse anticipate finding during the
assessment of a client admitted with a diagnosis of severe procidentia
(prolapse of the uterus)? Correct Answers ulcerations
which finding would the nurse be most concerned about when reviewing
the chart of a client scheduled for an amniocentesis? Correct Answers B
negative blood type
which impending problem would the nurse suspect when caring for a
client with bloody urine in the indwelling catheter collection bag, after
an emergency cesarean birth? Correct Answers surgical trauma to the
bladder
a client who is in labor is admitted 30 hours after her membranes
ruptured. which condition is this client at increased risk for? Correct
Answers chorioamnionitis
a client at 24 weeks' gestation arrives at the clinic for a routine
examination. she tells the nurse, "i feel puffy all over". in light of this
statement, which is the nurses most important assessment? Correct
Answers obtaining her blood pressure
which potential complication of severe preeclampsia may result from
severe hypertension? Correct Answers stroke
,the nurse is caring for a postpartum client with preeclampsia being
managed with a magnesium sulfate infusion. which is the priority
nursing assessment? Correct Answers eliciting deep tendon reflexes
which conditions increase the risk for postpartum hemorrhage? select all
that apply Correct Answers 1. twin birth
2. over distended bladder
3. retained placental fragments
during which week of gestation would a ruptured tubal pregnancy most
commonly occur? Correct Answers 6th
which clinical finding in a newly postpartum client requires immediate
investigation? Correct Answers a slow trickle of blood from the vagina
which factor in a clients history suggests a risk for preterm labor?
Correct Answers multiple urinary tract infections
during their initial visit to the prenatal clinic, a couple asks the nurse
whether the woman should have an amniocentesis for genetic studies.
which factor indicates that an amniocentesis may be indicated? Correct
Answers family history of genetic abnormalities
while assessing a client during the fourth stage of labor, the nurse notes
that the perineal pad is soaked with approximately 75mL of loch
rub .which nursing action is the priority? Correct Answers assess the
uterine fundus
,which action would the nurse take first for a client who is in active labor
and experiences sudden vaginal bleeding and increased uterine tone
without relaxation between contractions? Correct Answers assess the
fetal heart rate, uterine activity and blood pressure
a postpartum client receiving a continuous heparin infusion for a deep
vein thrombosis has an activate partial thromboplastin time (aPTT) of
128 seconds. which action would the nurse take in response to this
situation? Correct Answers interrupt the infusion and notify the primary
health care provider of the aPTT result
intravenous magnesium sulfate therapy is instituted for a client with
severe preeclampsia who has a blood pressure of 170/110, a pulse of 108
bpm, and a respiratory rate of 24. eight hours later her blood pressure is
150/110, pulse is 98, respiratory rate is 10 and the knee jerk reflex is
absent. which action would the nurse take in response to these findings?
Correct Answers stop the infusion of magnesium sulfate and notify the
primary health care provider
which is the priority nursing action when a loop of umbilical protrudes
from the vagina after rupture of a clients membranes? Correct Answers
holding the presenting part away from the cord
which are signs and symptoms of withdrawal that might be seen in a
postpartum client with a history of opioid abuse? Correct Answers
irritability and muscle tremors
, which condition contraindicates oxytocin induction? Correct Answers
active genital herpes infection
a client at 36 weeks gestation has gained 5 lb in the previous week and
has a pronounced increase in blood pressure. which is the initial
intervention upon admission of the client to the high risk unit? Correct
Answers providing a dark, quiet room with minimal stimuli
a primary health care provider prescribes carboprost tomethamine
(hematite) to be administered to a postpartum client with intractable
vaginal bleeding. the nurse should notify the provider of which current
condition in the clients medical history? Correct Answers history of
asthma
which client is at the greatest risk for a postpartum infection? Correct
Answers a woman who required catheterization after voiding less than
75ml
which is a risk factor for postpartum hemorrhage Correct Answers
multiple gestation pregnancy
which orders are appropriate for a client with mild preeclampsia? select
all that apply Correct Answers 1. daily weight
2. monitor deep tendon reflexes