Maternal and Child Health Nursing (100% Correct Answers)

A postpartum patient was in labor for 30 hours and had ruptured membranes for 24 hours. For which of the following would the nurse be alert? A. Endometritis B. Endometriosis C. Salpingitis D. Pelvic thrombophlebitis Correct Answers A. Endometritis Rationale: Endometritis is an infection of the uterine lining and can occur after prolonged rupture of membranes. A client at 36 weeks gestation is schedule for a routine ultrasound prior to an amniocentesis. After teaching the client about the purpose for the ultrasound, which of the following client statements would indicate to the nurse in charge that the client needs further instruction? A. The ultrasound will help to locate the placenta B. The ultrasound identifies blood flow through the umbilical cord C. The test will determine where to insert the needle D. The ultrasound locates a pool of amniotic fluid Correct Answers B. The ultrasound identifies blood flow through the umbilical cord. Rationale: Before amniocentesis, a routine ultrasound is valuable in locating the placenta, locating a pool of amniotic fluid, and showing the physician where to insert the needle. Color Doppler imaging ultrasonography identifies blood flow through the umbilical cord. A routine ultrasound does not accomplish this. While the postpartum client is receiving heparin for thrombophlebitis, which of the following drugs would the nurse expect to administer if the client develops complications related to heparin therapy? Correct Answers Protamine Sulfate Rationale: Protamine sulfate is a heparin antagonist given intravenously to counteract bleeding complications caused by heparin overdose. When caring for a 3-day-old neonate who is receiving phototherapy to treat jaundice, the nurse in charge would expect to do which of the following? Correct Answers Check the vital signs every 2 to 4 hours. Rationale: While caring for an infant receiving phototherapy for Tx. of jaundice, vital signs are checked every 2 to 4 hours because hyperthermia can occur due to the phototherapy lights.