NCLEX Postpartum

NCLEX Postpartum The nurse is caring for the postpartum client who is diagnosed with a low-lying placenta. The nurse monitors the client carefully for which complication? - Postpartum hemorrhage The client received epidural anesthesia during labor and had a forceps delivery after pushing for 2 hours. At 6 hours postpartum, the client's systolic blood pressure (BP) dropped 20 points, the diastolic BP dropped 10 points, and her pulse is 120 beats per minute. The client is very anxious and restless. The nurse is told that the client has a vulvar hematoma. On the basis of this diagnosis, the nurse should plan which action? - Preparing the client for surgery In formulating the plan of care, which problem is most important to address for a postpartum client who has expressed concerns about not knowing how to care for her newborn? - Lack of knowledge regarding ability to care for the newborn The nurse provides explanation to a client prescribed methylergonovine maleate in the immediate postpartum period. Which statement made by the client demonstrates understanding of the rationale for administration? - "It will help prevent and control bleeding if it occurs." The nurse is preparing to care for a woman in the immediate postpartum period who has just delivered a healthy newborn. The nurse plans to take the woman's vital signs at which time intervals? - Every 15 minutes for the first hour and then every 30 minutes for the next 2 hours The nurse is caring for a client during the immediate recovery phase or fourth stage of labor. Which action is important for the nurse to take at this time? - Check the uterine fundus and lochia. The nurse is monitoring a client at risk for postpartum endometritis. Which observation noted during the first 24 hours after delivery would support this diagnosis? - Abdominal tenderness and The nurse is assisting with caring for a postpartum client who is experiencing uterine hemorrhage. When planning to meet the psychosocial needs of the client, the nurse should plan which action? - Keeping the client and her family members informed of her progress The nurse is assigned to care for a client in the immediate postpartum period who received methylergonovine maleate. The nurse determines the medication is effective when the client makes which statement? - My afterpains are really strong The nurse is reinforcing instructions to a postpartum cesarean delivery client who is preparing for discharge. Which statement by the client indicates a need for further teaching? - "I can start doing abdominal exercises as soon as I get home." A stillborn was delivered in the birthing suite a few hours ago. After the birth, the family has remained together, holding and touching the baby. Which statement by the nurse should further assist the family in their initial period of grief? - "Would you like to hold your baby?" The nurse is assisting in developing a plan of care for a postpartum client who was diagnosed with superficial venous thrombosis. The nurse anticipates that which interventions would be included in the plan of care? Select all that apply. - Maintaining bed rest Elevating the affected extremity Applying warm compresses to the affected area as prescribed A postpartum client with gestational diabetes is scheduled for discharge. During the discharge, the client asks the nurse, "Do I have to worry about this diabetes anymore?" The nurse should make which response to the client? - "You will be at risk for developing gestational diabetes with your next pregnancy and developing overt diabetes mellitus." The nurse is caring for a postpartum client. At 4 hours postpartum, the client's temperature is 102° F (38.9° C). Which is the appropriate nursing action? - Notify the registered nurse, who will then contact the health care provider (HCP). When performing a postpartum assessment on a client, the licensed practical nurse (LPN) notes clots in the lochia. The LPN examines the clots and notes that they are larger than 1 cm. Which nursing action is appropriate? - Notify the registered nurse (RN). The nurse is collecting data on a postpartum client and performs which best intervention when checking for thrombophlebitis in the legs? - Checks the calf areas for redness or swelling The parents of a neonate who is not circumcised request information on how to clean the newborn's penis. Which is the correct response for the nurse to make to the parents? - "Avoid retracting the foreskin to cleanse the glans because this may cause adhesions." The nurse is assigned to care for a client admitted to the postpartum unit following delivery of a full-term healthy infant. The nurse checks the mother's temperature and notes that it is 100.4° F (38° C). Which nursing action is appropriate? - Encourage oral fluids. ...............