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oxytocin is prescribed to be administered intravenously to
client after cesarean delivery. The nurse understands that
which is the action of the medication - THE CORRECT ANSWER-to
stimulate the uterus to contract this reducing possible blood
loss
a pregnant client experienced a uterine rupture with
subsequent fetal death. After ensuring that the client is
physiologically stable the nurse should take which approach as
the first step to support the client physiologically - THE CORRECT
ANSWER-collect data regarding how the client receive the event
a postpartum nurse obtain C vital signs on a mother who
delivered a healthy newborn 2 hours ago. Then mothers
temperature is 100 °F. what is the initial nursing action - THE
CORRECT ANSWER-encourage oral fluid intake
the nurse is monitoring a new mother in the fourth stage of
labor for signs of hemorrhage. Which side noted in the mother
would indicate an early sign of excessive blood loss and shock -
THE CORRECT ANSWER-an increase in the pulse rate from 80 to 102
beats per minute
,on the second postpartum day at mother complains of burning
on urination, urgency, and frequency of urination. A urine
sample is collected for urinalysis and the results indicate the
presence of a urinary tract infection. The nurse reinforces
instructions to the new mother regarding measures to take for
the treatment of the infection. Which statement by the mother
indicates the need for further teaching - THE CORRECT ANSWER-foods
and fluids that will increase your and alkalinity should be
consumed
a delivery room nurse collects data on a mother who just
delivered a healthy newborn infant. The nurse checks the
uterine fundus expecting to note which uterine fundus position
- THE CORRECT ANSWER-at the level of the umbilicus
it has been 12 hours since the delivery of a newborn. The nurse
assesses the mother for the process of evolution and documents
that it is progressing normally when palpation of the client's
fundus is noted at which level - THE CORRECT ANSWER-1
a new mother attempting breastfeeding for the first time has
development status. She states my breasts look terrible and I
think that I will stop breastfeeding. The nurse plans care
knowing that the client is concerned about which problem - THE
CORRECT ANSWER-body image
the nurse in a postpartum unit identifies which client as being
at risk for developing endometritis following delivery - THE
CORRECT ANSWER-an adolescent experiencing an emergency
cesarean delivery for fetal distress
, the nurse is preparing to care for a woman in the immediate
postpartum. Who has just delivered a healthy newborn. The
nurse plans to take the woman's vital signs at which time
intervals - THE CORRECT ANSWER-every 15 minutes for the first hour
then every 30 minutes for the next 2 hours
the nurse is assisting in developing a plan of care for a cloud
preparing to breastfeed. And planning care which factor is
significant in teaching a client to breastfeed - THE CORRECT ANSWER-
A positive nurse client relationship
a pregnant client test positive for Hepatitis B virus and a client
asked the nurse whether she will be able to breastfeed the baby
as planned after delivery. The nurse makes which response to
the client - THE CORRECT ANSWER-breastfeeding is allowed once the
baby has been vaccinated
the nurse has reinforce instructions to a new mother about how
to perform postpartum exercises. The nurse determines that the
client understands the instructions when she makes which
statement - THE CORRECT ANSWER-I should alternately contract and
relax muscles of the perineal area
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 - THE CORRECT ANSWER-check the
uterine fundus and lochia
after surgical evacuation and repair of a vaginal hematoma a 3-
day postpartum mother is discharged. The nurse determines