class 4A prep u

The nurse is teaching a postpartum woman and her spouse about postpartum blues. The nurse would instruct the couple to seek further care if the client's symptoms persist beyond which time frame? - 3 weeks - 1 week - 4 weeks - 2 weeks

2 weeks

The nurse observes a 2-in (5-cm) lochia stain on the perineal pad of a 1-day postpartum client. Which action should the nurse do next? - Document the lochia as scant. - Stop using a peri-pad. - Massage the client's fundus. - Reassess the client in 1 hour.

Document the lochia as scant.

The nurse is admitting to the floor a woman who just gave birth. What medical and pregnancy history would the labor and delivery nurse include in the report? - The newborn's weight - Length of labor - Apgar scores - Maternal blood type

Maternal blood type

A client has come to the office for her first postpartum visit. On evaluating her blood work, the nurse would be concerned if the hematocrit is noted to have: - slightly decreased. - acutely decreased. - slightly increased. - acutely increased.

acutely decreased.

A nurse is monitoring the vital signs of a client 24 hours after birth. She notes that the client's blood pressure is 100/60 mm Hg. Which postpartum complication should the nurse most suspect in this client, based on this finding? - diabetes - postpartum gestational hypertension - bleeding - infection

bleeding

A nurse on the postpartum floor is conducting a class on danger signs for postpartum women after discharge. The nurse recognizes that further teaching is needed when a new mother makes which statement? - "My episiotomy should begin to heal and feel better over the next few weeks" - "If I develop chills or my fever goes above 100.4℉ (38℃), I need to let someone know." - "I need to let the doctor know if my lochia begins to have a foul smell." - "I am breastfeeding so I can anticipate that there will be reddened, painful areas in my breasts when I am engorged."

"I am breastfeeding so I can anticipate that there will be reddened, painful areas in my breasts when I am engorged."

After teaching a group of pregnant women about the skin changes that will occur after the birth of their newborn, the nurse understands there is a need for additional teaching when one of the women makes which statement? - "I might lose some hair, but it will grow back." - "My nipples won't be so dark after I give birth." - "This line on my belly will go away over time." - "I can't wait for these stretch marks to disappear after I give birth."

"I can't wait for these stretch marks to disappear after I give birth."

A nurse is assessing a woman during the first 24 hours after birth. Which assessment finding would the nurse determine as acceptable during this time? Select all that apply. - Hypotonic bowel sounds - Fundus one finger-breadth below the umbilicus - Urination of 100 ml every 4 hours - Inverted nipples following breastfeeding - Moderate saturation of peripad every 3 hours

- Fundus one finger-breadth below the umbilicus - Moderate saturation of peripad every 3 hours

The nurse is observing a client who gave birth yesterday. Where should the nurse expect to find the top of the client's fundus? - below the symphysis pubis - at the level of the umbilicus - one fingerbreadth below the umbilicus - one fingerbreadth above the umbilicus

one fingerbreadth below the umbilicus

Which factor puts a client on her first postpartum day at risk for hemorrhage? - moderate amount of lochia rubra - hemoglobin level of 12 g/dl (120 g/L) - uterine atony - thrombophlebitis

uterine atony

A woman comes to the clinic. She gave birth about 2 months ago to a healthy term male newborn. During the visit, the woman tells the nurse, "I've noticed that I'm a bit uncomfortable now when we have sexual intercourse. Is there anything that I can do?" The woman's menstrual period has not yet resumed. Which suggestion by the nurse would be most appropriate? - "It takes a while to get your body back to its normal function after having a baby." - "This is entirely normal, and many women go through it. It just takes time." - "You might try using a water-soluble lubricant to ease the discomfort." - "Try doing Kegel exercises to get your pelvic muscles back in shape."

"You might try using a water-soluble lubricant to ease the discomfort."

A client who gave birth about 12 hours ago informs the nurse that she has been voiding small amounts of urine frequently. The nurse examines the client and notes the displacement of the uterus from the midline to the right. As long as there is a prescription, what intervention would the nurse perform next? - Insert a 20 gauge IV. - Administer oxytocin IV. - Notify the health care provider. - Perform urinary catheterization.

Urinary catheterization.

Which intervention would be helpful to a bottle-feeding client who's experiencing hard or engorged breasts? - applying warm compresses - administering bromocriptine - applying ice - restricting fluids

applying ice

Elevation of a client's temperature is a crucial first sign of infection. However, when is elevated temperature not a warning sign of impending infection? - after any period of decreased intake - when the white blood cell count is less than 10,000/mm³ - when the elevated temperature exceeds 100.4°F (38°C) - during the first 24 hours after birth owing to dehydration from exertion

during the first 24 hours after birth owing to dehydration from exertion

Elevation of a client's temperature is a crucial first sign of infection. However, when is elevated temperature not a warning sign of impending infection? - during the first 24 hours after birth owing to dehydration from exertion - when the white blood cell count is less than 10,000/mm³ - when the elevated temperature exceeds 100.4°F (38°C) - after any period of decreased intake

during the first 24 hours after birth owing to dehydration from exertion

A nurse is caring for a client who has just received an episiotomy. The nurse observes that the laceration extends through the perineal area and continues through the anterior rectal wall. How does the nurse classify the laceration? - first degree - second degree - fourth degree - third degree

fourth degree

A nurse is assessing a woman who gave birth vaginally approximately 24 hours ago. Which finding would the nurse report to the primary care provider immediately? - uterine fundus 1 cm below umbilicus - pulse rate 75 beats per minute - oral temperature 100.8° F (38.2° C) - respiratory rate 16 breaths/minute

oral temperature 100.8° F (38.2° C)

A nurse is caring for a client who is nursing her baby boy. The client reports afterpains. Secretion of which substance would the nurse identify as the cause of afterpains? - prolactin - progesterone - estrogen - oxytocin

oxytocin

The nurse is used to working on the postpartum floor taking care of women who have had normal vaginal births. Today, however, the nurse has been assigned to help care for women who are less than 24 hours post-cesarean birth. The nurse realizes that some areas will not be assessed. What would the nurse leave out of the client assessments? - respiratory status - breasts - perineum - lower extremities

perineum

A G1 P1001 mother is just home after giving birth to her first child 5 days ago. Her birth was complicated by an emergency cesarean birth resulting from incomplete cervical dilation (dilatation) and hemorrhage. The nurse determines that the mother has not slept longer than 3 hours at one time. The appropriate nursing diagnosis for this client care issue is: - At risk for postpartum depression due to inadequate rest. - At risk for inadequate healing due to decreased nutrition. - At risk for interruption of tissue integrity. - At risk for safety due to low hemoglobin.

At risk for postpartum depression due to inadequate rest.