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During discharge teaching with a patient who has experienced a DVT during labor and delivery
and has been prescribed warfarin, the nurse is sure to emphasis avoiding which of the
following?
Select all that apply. - Answer Excessive alcohol consumption
MMR vaccine
Ibuprofen
Large amounts of green leafy vegetables
Vitamin C
What is endometriosis? - Answer During the immediate postpartum period, the most common
site of infection is the endometrium, or lining of the uterus
is an inflammation of the uterine lining that usually starts at the placental site and spreads to
the entire endometrium.
can extend to the fallopian tubes, ovaries, pelvic perineum, pelvic veins, or pelvic connective
tissue
Signs of Endometritis - Answer presents with a temperature elevation over 101°F
Develop within the first 24 to 48 hours after childbirth followed by tachycardia, uterine
tenderness, suprapubic pain, subinvolution, and malaise.
Heavy, foul-smelling lochia (a later sign that occurs when the entire endometrium is involved) is
noted when anaerobic organisms are present;
scant, odorless lochia is noted when beta-hemolytic Streptococcus is present.
The nurse is performing an assessment on a patient 44 hours after an uneventful delivery.
Which of the following would cause the nurse to suspect the patient is developing
endometritis? Select all that apply. - Answer Temperature of 101.2
Suprapubic pain
Foul smelling lochia
Scant, odorless lochia
Serena, a G4P2103, is 42 weeks 3 days pregnant and is being induced with oxytocin for being
, BMI 23%
Ectopic pregnancy
A postpartum cesarean patient calls to the nurse's station and states it's painful to breathe and
she feels like her heart is racing. The nurse enters the room to find the patient holding her chest
and coughing. The patient says she's scared and can't catch her breath. What complication
should the nurse anticipate the patient being diagnosed with? - Answer Pulmonary Embolism
What is the treatment for uterine atony - Answer Fundal Massage
The failure of the uterus to return to its prepregnancy state is called - Answer subinvolution
A patient has come to the emergency department complaining of aches, fatigue, breast pain,
fever, and chills. What diagnosis would the nurse expect the provider to give to this patient? -
Answer mastitis
During a morning assessment, Melanie, who delivered a healthy baby girl 2 days ago, tells the
nurse that the devil told her the baby will never be healthy unless Melanie leaves her in a
bathtub of water. What should the nurse do at that time? - Answer Push the call bell for the
charge nurse and provider to come to the room immediately
The nurse is caring for a G3P1102 patient while she labors. She is 38 weeks 4 days, her medical
record shows a BMI of 36%, history of chronic hypertension, gallbladder removal 2 years ago,
and her past pregnancies were uneventful. She had a reactive NST in OB triage when she arrived
in active labor about 14 hours ago. She delivered approximately 15 mins ago and is showing
signs of postpartum hemorrhage (PPH) with a QBL of 1,600 mL. Which of the following orders
from the provider should you question? - Answer Methylergonovine 0.2mg IV every 2 hours
for 3 doses.
During and after every delivery, the nurse weighs the pads, linens, and any bloody items. This is
called - Answer Quantifying blood loss
Monique delivered 2 hours ago, and on routine fundal and perineal assessment, the nurse notes
a firm fundus that is midline at the umbilicus and moderate bright red bleeding.
Where is this bleeding likely coming from? - Answer The Cervix