NURS 1240 Postpartum EAQ
After 8 hours postpartum the nurse determines that a client's fundus is 3 cm above the umbilicus and displaced to the right. Which statement is most significant in confirming the reason for the location of the uterus? - 'I've been so thirsty the past few hours. - 'I went to the bathroom, but i can't seem to urinate.' - 'I've changed my pad once since I got to my room.' - 'I've had a lot of contractions, especially while I was nursing.
'I went to the bathroom, but i can't seem to urinate.'
A postpartum client is being treated with subcutaneous enoxaparin for deep vein thrombosis of the left calf. Which client cue is of most concern to the nurse? - Dyspnea - Pulse rate of 62 beats/min - Blood pressure of 136/88 mm Hg - Positive Homan sign in the left leg
Dyspnea
The nurse is caring for a postpartum client with preeclampsia being managed with a magnesium sulfate infusion. Which is the priority nursing assessment? - Assessing maternal temperature - Obtaining blood pressure - Eliciting deep tendon reflexes - Monitoring urine output
Eliciting deep tendon reflexes
Which nursing action is the priority action for a breastfeeding postpartum client receiving an infusion of magnesium sulfate during the immediate postpartum period? - Monitoring oral intake - Monitoring urinary output - Observing amount of lochia - Assessing breast-feeding technique
Observing amount of lochia
On the third postpartum day after a cesarean birth a client tells the nurse that her breasts feel warm, firm, and tender. The skin is shiny and taut. Which condition would the nurse suspect as the cause of the client's breast discomfort? - Oversupply of milk - Mastitis - Bilateral plugged ducts - Physiologic engorgement
Physiologic engorgement
After the vaginal birth of an infant weighing 8 lb, 13 oz (3997 g) an ice pack is applied to a client's perineum to ease the swelling and pain. Subsequently the client complains, 'My vagina feels so full and heavy and the pain in it and in my rectum is excruciating. Which problem would the nurse suspect is the cause of the pain? - Full bladder - Vaginal hematoma - Infected episiotomy - Enlarged hemorrhoids
Vaginal hematoma