411 Chapter 22

which interventions should the nurse perform to evaluate the efficacy of drug treatment for oxytocin

1. assess clients uterine tone 2. monitor clients vital organs 3. get a pad count

for which signs and symptoms should the nurse assess for an increased risk of disseminated intravascular coagulation

1. bleeding gums 2. tachycardia 3. acute renal failure

what signs or symptoms are indicative of PP depression

1. inability to concentrate 2. loss of confidence 3. decreased interest in life

placenta___________ is a condition in which the chorionic villi adhere to the myometrium, causing the placenta to adhere abnormally to the uterus and not separate and deliver spontaneously

accreta

a nurse is caring for a client with idiopathic thrombocytopenia purport. which intervention should the nurse perform first

administration of platelet transfusions as ordered

von Willebrand disease

administrations of desmopressin and plasma concentrates

upon assessment, the nurse. notes a PP client has increased vaginal bleeding. the client had a forceps birth which resulted in lacerations 4 hours ago. what should the nurse do next

assess for uterine contractions

Failure of the uterus to contract and retract immediately after birth is called uterine____________

atony

a nurse is caring for a PP client. what instruction should the nurse provide to the client as precautionary measures to prevent thromboembolic complications

avoid sitting in one position for long periods of time

a nurse is caring for a client who has just undergone birth. what is the best method for the nurse to assess this client for PP hemorrhage

by frequently assessing uterine involution

a nurse is caring for a PP client who has a history of thrombosis during pregnancy and is at high risk for developing a pulmonary embolism. for which symptom should the nurse monitor the client to prevent the occurrence of pulmonary embolism

calf swelling

a nurse is caring for a PP client diagnosed with von Willebrand disease. what should be the nurses priority for this client

check the lochia

in von Willebrand disease, there is a ____________ in the von Willebrand factor, which is necessary for platelet adhesion and aggregation

decrease

excessive blood loss that occurs within 24 hours after birth is termed______________PP hemorrhage

early

retained placental tissue

evacuation and oxytocics

two weeks after a vaginal birth, a client presents with a low-grade fever. the client also reports a loss of appetite and low energy levels. the HCP suspects an infection of the episiotomy. what sign or symptoms is most indicative of an episiotomy infection

foul-smelling vaginal discharge

a nurse is caring for a 38 yo overweight client 24 hours post cesarean birth. the client is reporting calf tenderness. which should the nurse do first

have the client rest with the extremity elevated

what is idiopathic thrombocytopenia purpura

increased platelet destruction caused by the development of autoantibodies to platelet membrane antigens

a prolapse of the uterine fundus to or through the cervix, so that the uterus is turned inside out after birth, is called uterine _______________

inversion

a nurse finds that a client is bleeding excessively after a vaginal birth. which assessment finding would indicate retained placental fragments as a cause of bleeding

large uterus with painless dark-red blood mixed with clots

uterine atony

massage and oxytocics

a localized inflammation of the breast is called_____________

mastitis

____________ is an infectious condition that involves the endometrium, decidu, and adjacent myometrium of the uterus

metritis

what are the causes of over distention of the uterus

multifetal gestation, fetal macrosomia, polyhydraminos, fetal abnormality, or placental fragments over distention of the uterus is a major risk factor for uterine atony, the most common cause of early PP hemorrhage, which can lead to hypovolemic shock

client reports fever and pain in breast. the client is diagnosed with mastitis. what education should the nurse give to the client for managing and preventing mastitis

perform hand-washing before and after breast-feeding

a nurse is caring for a client who delivered vaginally 2 hours ago. what postpartum complication can the nurse assess within the first few hours following birth

postpartum depression

bleeding disorder

provide blood products

_____________ refers to the incomplete involution of the uterus, or its failure to return to its normal size and condition after birth

sub involution

what are the types of venous thrombosis

superficial VT usually involves the saphenous venous system and is confined to the lower leg. the lithotomy position during birth can cause superficial thrombophlebitis in some women DVT can involve deep veins from the foot to the calf, to the thighs, or to the pelvis. in both locations, thrombi can dislodge and migrate to the lungs, causing a pulmonary embolism

what are the symptoms of PP psychosis

surface within 3 weeks of giving birth the mother will be tearful, confused, and preoccupied with feelings of guilt and worthlessness the mother frequently loses touch with reality and experiences a severe regressive breakdown, associated with a high risk of suicide of infanticide.

lacerations or hematoma

surgical repair

a nurse is caring for a client who has been treated for DVT. which order would the nurse question

take an oral contraceptive daily

obstruction of a blood vessel by a blood clot carried by the circulation from the site of origin is called_________________

thromboembolism

a blood clot within a blood vessel is called a ______________

thrombus

what are baby blues

woman exhibits mild depressive symptoms of anxiety, irritability, mood swings, tearfulness, and increased sensitivity, feelings of being overwhelmed, and fatigue after the birth of the baby condition usually peaks on PP days 4 and 5 and usually resolves by PP day 10