OB STUDY GUIDE CH 22
Upon assessment, the nurse notes a postpartum 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
A nurse is caring for a postpartum 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 been treated for a deep vein thrombosis. Which teaching point should the nurse tress when discharging the client?
Avoid use of oral contraceptives
A nurse is caring for a postpartum client who has a history of thrombosis during pregnancy and is at high risk of developing a pulmonary embolism. For which sign or symptom should the nurse monitor the client to prevent the occurrence of pulmonary embolism?
Calf swelling
A postpartum client who was discharged home returns to the primary health care facility after 2 weeks with reports of fever and pain in the 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 postpartum client diagnosed with von Willebrand disease. What should be the nurse's priority for this client?
Check the lochia
A nurse is caring for a 38-year old 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
A nurse is assessing a client with postpartal hemorrhage; the client is presently on IV oxytocin. Which interventions should the should the nurse perform to evaluate the efficacy of the drug treatment? Select all that apply
A) Assess client's uterine tone B) Monitor client's vital signs D) Get a pad count
A client in her 7th weeks of the postpartum period is experiencing bouts of sadness and insomnia. The nurse suspects that the client may have developed postpartum depression. What signs or symptoms are indicative of postpartum depression? Select all that apply
A) Inability to concentrate B) Loss of confidence D) Decreased interest in life
A nurse is caring for a client with idiopathic thrombocytopenic purpura (ITP). Which intervention should the nurse perform first?
Administration of platelet transfusions as order
A nurse is caring for a client who has had an intrauterine fetal death with prolonged retention of the fetus. For which signs and symptoms should the nurse watch to assess for an increased risk of disseminated intravascular coagulation? Select all that apply
B) Bleeding gums C) Tachycardia D) Acute renal failure
A nurse is caring for a client who has just undergone birth. What is the best method for the nurse to asses this client for postpartum hemorrhage
By frequently assessing uterine involution
Two weeks after a vaginal delivery, a client presents with low-grade fever. The client also complains of a loss of appetite and low energy levels. The health provider suspects an infection of the episiotomy. What signs and symptoms is most indicative of an episiotomy infection?
Foul-smelling vaginal discharge
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
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 delivery?
Postpartal hemorrhage