OB Study Guide Ch. 22

2. 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?

Ans: Avoid use of oral contraceptives

13. A nurse is caring for a client who has had an intrauterine fetal death with prolonged retention of the fetus. Which of the following signs and symptoms should the nurse watch for in a client to assess for an increased risk of disseminated intravascular coagulation? Select all that apply

Ans: Bleeding gums Ans: Tachycardia Ans: Acute renal failure

1. 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?

Ans: Calf swelling

6. A nurse is assigned to care for a 38-year old overweight client scheduled to undergo a cesarean section. The client is at an increased risk of thromboembolic complications. During assessment, what factor will help the nurse in the diagnosis of deep vein thrombosis of the leg?

Ans: Calf tenderness

11. A postpartum client had a difficult labor. Which assessment finding will alert the nurse that the client is most likely hemorrhaging?

Ans: Decreased blood pressure

4. 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 physician suspects an infection of the episiotomy. What signs and symptoms is most indicative of an episiotomy infection?

Ans: Foul-smelling vaginal discharge

14. 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

Ans: Inability to concentrate Ans: Loss of confidence Ans: Decreased interest in life

7. A nurse finds that a client is bleeding excessively after a vaginal delivery.Which assessment finding would indicate retained placental fragments as a cause of bleeding?

Ans: Large uterus with painless dark-red blood mixed with clots

8. A client has had a forceps delivery which resulted in laceration and bleeding. How can a nurse identify if the bleeding is due to laceration?

Ans: Look for a contracted uterus with vaginal bleeding

12. A postpartum client who was discharged home returns to the primary health care facility after 2 weeks with complaints 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?

Ans: Perform hand-washing before and after breastfeeding

9. 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?

Ans: Postpartal hemorrhage

5. A nurse is caring for a postpartum client diagnosed with von Willebrand disease. What assessment findings will the nurse expect to find in the client?

Ans: Prolonged bleeding time

3. A nurse is caring for a client with idiopathic thrombocytopenic purpura. The nurse is correct when performing which interventions?

Ans: Administration of platelet transfusion as ordered

15. A nurse is assessing a client with postpartal hemorrhage; the client is presently on IV oxytocin. Which of the following interventions should the nurse perform to evaluate the efficacy of the drug treatment? Select all that apply

Ans: Assess client's uterine tone Ans: Monitor client's vital signs Ans: Get a pad count

10. A nurse is caring for a postpartum client. What instruction should the nurse provide to the client as precautionary measures to prevent thromboembolic complications?

Ans: Avoid sitting in one position for long periods of time