OB 4

d) "A second pregnancy may require more psychosocial adjustment."

"Each pregnancy has a unique psychosocial meaning."

d) "Do you have any allergies?"

"What is your expected due date?"

d) Cardiac output increases by 25% to 50% during pregnancy.

Cardiac output increases by 25% to 50% during pregnancy.

d) Perform a complete physical examination to determine her need for help.

Determine the client's level of motivation to breastfeed.

d) Does not become edematous.

Does not go into metabolic acidosis.

d) Congenital cataracts may be present.

Neonates commonly lack eye muscle coordination.

d) Placing as much of the areola as possible into the baby's mouth.

Neonates commonly lack eye muscle coordination.

d) Blue

Nitrazine paper turns blue on contact with alkaline substances such as amniotic fluid. Normal vaginal discharge and urine are acidic and cause nitrazine paper to turn pink.

d) Estrogen.

Testosterone.

d) Lying in the left lateral recumbent position.

Walking around in the hallway.

d) Ask the mother to massage the neonate's hands and feet.

Wrap the neonate in a warm blanket.

d) large clots or tissue fragments.

bright red blood.

A 19-year-old primigravida at 38 weeks' gestation, in active labor for the past 8 hours, is admitted to the hospital accompanied by her mother. On admission, the client's cervix is 5 cm dilated, her blood pressure is 120/84 mm Hg, and she is breathing rapidly, complaining of feeling dizzy and lightheaded. The nurse determines that the client is most likely experiencing effects of which of the following?

Hyperventilation.

d) eat three well-balanced meals per day.

divide daily food intake into five or six meals.

d) Trauma during labor and delivery.

The most likely cause of this client's uterine atony is overdistention of the uterus caused by the hydramnios. As a result, the stretched uterine musculature contracts less vigorously. Besides hydramnios, a large infant, bleeding from abruptio placentae or placenta previa, and rapid labor and delivery can also contribute to uterine atony during the postpartum period. Trauma during labor and delivery is not a likely cause. In addition, no evidence of excessive trauma was described in the scenario. Moderate fundal massage helps to contract the uterus, not contribute to uterine atony. Although a lengthy or prolonged labor can contribute to uterine atony, this client had a cesarean delivery for breech presentation. Therefore, it is unlikely that she had a long labor.