ob TEST 2
The nurse is assessing the power of the uterine muscle during the labor process. The nurse can expect to assess which changes as a result of this process? Cervical effacement Cervical lengthening A slowing of uterine contractions An increase in maternal blood pressure
a
A nursing responsibility while preparing a woman for a cesarean birth would be which action? Obtaining informed consent Supporting the woman and her partner Explaining the risks involved Explaining the details of the procedure
b
The nurse should include which interventions when teaching a new mother how to breastfeed? (Select all that apply.) Wash the nipples with soap and water twice daily. Begin nursing with the right breast at each feeding. Supplement the baby's feeding with formula every 12 hours. Slide a finger into the baby's mouth to release suction. Hold the baby in the "football" hold to facilitate feeding.
de
Which description of lochia on a postpartum client's daily chart would require the nurse to notify the healthcare provider during the early postpartum period? close double quote"Lochia red and plentiful.close double quote" open double quote"Lochia has a fleshy odor.close double quote" open double quote"Lochia contains large clots.close double quote" open double quote"White lochia noted today.close double quote
C
Which medication is contraindicated for breastfeeding mothers? Selective serotonin reuptake inhibitors Lithium Tricyclic doxepin Nortriptyline
C
Which may be assessed in the fetus with a prolapsed umbilical cord? (Select all that apply.) Fetal heart rate accelerations Late decelerations Variable decelerations Sustained fetal bradycardia Increased uterine contractions
CD
The postpartum client is being evaluated by the nurse after having the baby blues 3 weeks earlier. The nurse concludes that goals have been met when the client states the following: "The baby and I visited my cousin yesterday." "I didn't do any housework again today." "My mother is caring for the baby." "I have hired a mother's helper to care for my family."
a
A nurse performs a cervical exam on a client with ruptured membranes and palpates a loop of umbilical cord. What is the initial nursing action? Stopping oxytocin administration immediately Applying firm pressure on the presenting part to relieve cord compression Preparing an amnioinfusion to try and float the cord up into the uterus Giving the mother oxygen via face mask at 15 L/min
b
A nurse is caring for a client having a precipitous delivery in the emergency department. The nurse anticipates which possible effects on the neonate? (Select all that apply.) Decreased intracranial trauma Shoulder dystocia Spinal compression Neonatal intracranial hemorrhage Hypoxia
de
A primigravida client is in the second stage of labor. The nurse determines teaching has been effective when which client statements are made? (Select all that apply.) "I'll push 2 or 3 times and the baby will be born." "My doctor will come and pull the baby out now." "It's not the baby; I have to have a bowel movement." "I know I'll have to push awhile." "This is hard work!"
de
A client delivered her infant daughter 2 hours ago. She had an episiotomy to facilitate delivery. Which action is most appropriate for the nurse at this time? Place an ice pack on the perineum Apply a heat lamp to the perineum Help the client take a sitz bath Administer an analgesic medication as ordered
A
The nurse on the postpartum unit demonstrates techniques to the mother to feed the newborn. The nurse then observes the mother following her technique. The patient is exhibiting which stage of maternal role attainment? Formal Anticipatory Informal Personal
A
Which finding in the client with postpartum depression would represent appropriate goal attainment? Positive maternaldash-newborn interaction is achieved. Mother verbalizes understanding of risks. Pain is satisfactorily managed. Mother verbalizes an understanding of her condition.
A
Why are the mouth and oropharynx of a newborn suctioned before the nose is suctioned? To prevent the newborn from aspirating any contents of the nasopharynx Because newborns breathe through their mouths The order is unimportant To allow the newborn to cry
A
Which are treatment options for mastitis? (Select all that apply.) Antibiotics Increased intake of milk products Breastfeeding "Resting" the breast Bed rest
A,C,E
A postpartum client reports having difficulty voiding. Which strategies would the nurse suggest to promote urine elimination? (Select all that apply.) Running water in the sink Ensuring privacy when voiding Encouraging voiding in the shower or during a sitz bath Administering pain medication Administering docusate sodium (Colace) as ordered
ABCD
nurse is teaching a family about possible therapies for a client with postpartum psychosis. Which clinical therapy would the nurse state is used to treat the client experiencing this condition? Select all that apply. Short-term institutionalization Supervision when caring for infant or other children Support groups Lithium and antipsychotics Mental health counseling
ABCD
The nurse is assessing a client for postpartum blues. Which feelings voiced, or behaviors observed, might the nurse document regarding a client experiencing postpartum blues? Select all that apply. Fatigue Sleepiness Overwhelmed Tearfulness Irrational thoughts
ACD
Sarah Martinez is a 34-year-old client who delivered a 10 lb 8 oz. female infant with vacuum assistance at 3:00 a.m. this morning. During the nurse's postpartum assessment, the nurse notes that the client's heart rate is 136 beats/min and her blood pressure is 94/50 mmHg. Ms. Martinez states that she has changed her peri-pad four times in the past hour. Which assessment is the most appropriate for the nurse to perform at this time? To reassess the blood pressure in 15 min To palpate the fundus To elevate the client's feet and legs To review the chart for total blood loss during delivery
B
The nurse is providing care to a breastfeeding client diagnosed with postpartum depression. Which medication order is appropriate for this client? Fluoxetine Nortriptyline Tricyclic doxepin Atypical nefazodone
B
Which definition describes the term involution? A boggy or soft fundus The descent of the uterine fundus into the pelvis Bladder distention Palpation of the uterine fundus
B
A client who is 6 hr status post a precipitous vaginal birth of an 8 lb 14 oz. baby has pressed the call bell to report severe and worsening perineal pain and pressure. What will the nurse look for when assessing this client? (Select all that apply.) Fever Ecchymosis Visible outline of a mass on the perineum Tachycardia Nausea
BCD
A postpartum client with an episiotomy reports perineal pain. What is the appropriate nursing intervention for this client? (Select all that apply.) Frozen cabbage leaves Topical anesthetic spray Intermittently placed ice packs Warm compresses Sitz baths
BCE
What are the chief discomforts a woman may experience during the initial postpartum period? (Select all that apply.) Severe cramping Perineal discomfort Nipples bleeding from nursing Exhaustion Hunger
BDE
What is the preferred type of pushing that will allow the woman and her fetus to maintain oxygenation? With a closed glottis Structured pushing With an open glottis With each contraction
C
Which of the following must be ruled out before labor may be augmented with an amniotomy or oxytocin? Full-term pregnancy status Twin gestation Cephalopelvic disproportion Vertex positioning of the fetus
C
Which are risk factors associated with thrombophlebitis during the postpartum period? (Select all that apply.) Preterm delivery African American ethnicity Hypercoagulability Cesarean birth Blood type A+
C,D,E
A laboring client experiences an amniotic fluid embolism. The nurse should prepare to execute which nursing responsibility? Vacuum extraction of the fetus Contacting pastoral care Ordering vasopressors Assisting in the insertion of a central line
D
The cervix of a client in active labor who received epidural anesthesia 4 hr ago is now completely dilated, and the client is ready to begin pushing. Before the client begins to push, what would the nurse assess? Status of membranes Cervical dilation again Fetal heart rate variability Bladder status
D
What is commonly seen in newborns who experience shoulder dystocia during delivery? Hydrocephalus Delayed growth Ankle fracture Brachial plexus injury
D
Which action by a new mother hinders her from attaching with her baby? Unwrapping the newborn and exploring the baby's extremities with her fingertips. Holding the newborn so that she has direct face-to-face and eye-to-eye contact. Holding the newborn in her arms and stating, "He has his daddy's nose." Placing the newborn in the crib next to her bed.
D
A 25-year-old first-time mother is admitted to the labor room. She is 3 cm dilated and 80% effaced, and the head is at 0 station. Contractions occur every 10 min, lasting 20dash-30 s. Membranes are intact. Admitting vital signs are blood pressure 112/70, pulse 80 bpm, respirations 16, temperature 98.8°F, and fetal heart rate 148. What should the nurse monitor? Temperature, blood pressure, and contractions every 4 hr and fetal heart rate hourly Contractions, blood pressure, and fetal heart rate every 15 min Contractions, effacement and dilation of cervix, and fetal heart rate every hour Blood pressure hourly and contractions and fetal heart rate every 30dash-60 min
D During early labor, blood pressure and contractions are monitored hourly and the fetal heart rate is monitored every 30dash-60 minutes. Temperature can be monitored every 4 hr.
A 3-week postpartum client calls the nurse and reports symptoms of feeling down and tired. The mother asks the nurse why she feels this way. The best response by the nurse is the following: "Baby blues" is self-limiting and can signal an emotional letdown after delivery." "You are experiencing postpartum psychosis and need to come in for a check-up." "Did your mother have the 'baby blues'?" "You are probably afraid of getting pregnant again too soon."
a
A client is told that her pelvic diameters are slightly contracted. The client asks the nurse what this means for her vaginal birth plan. Which response by the nurse is the most appropriate? "You will have a trial of labor first; a cesarean delivery will occur if the trial is not successful." "Yes, you can deliver vaginally." "It might be possible, but I would count on a cesarean delivery." "You will have to have a cesarean delivery."
a
A high priority for the nurse to assess when admitting a client in early labor, includes: Cultural beliefs and practices Reasons for selecting a midwife Maternal nutritional status Names the family has chosen for the baby
a
A nurse is caring for a client going into the fourth stage of labor. Which is the priority nursing assessment during this stage? Assessing the uterus Assessing vaginal discharge every 4 hr Assessing vital signs every 1 hr Assessing pulse oximetry every 4 hr
a
Carmelina Picagli, a 22-year-old primigravida, has been admitted to the labor and birth unit in the active phase of the first stage of labor at term. She is healthy; has had an uneventful pregnancy; plans an unmedicated labor; and wants to remain as active as possible. Which order would the nurse suspect has been entered in error? "Continuous electronic fetal monitoring" "Fetal heart rate check Q 30 minutes" "Vitals signs Q 4 hr" "Activity as tolerated"
a
The nurse assistant notifies the nurse that the postpartum client appears to be struggling with breastfeeding her infant. Which action is the best response from the nurse? Observe the patient breastfeeding her infant. Let the nurse assistant know that the patient, most likely, does not have a problem with breastfeeding. Scold the nurse assistant for interfering with the care of the patient. Send the nurse assistant in to assess the patient's breastfeeding technique.
a
The nurse concludes that the teaching regarding placenta previa has been effective for a laboring client when the client states: "My baby's placenta is implanted low in my uterus." "I expect the doctor to do numerous vaginal examinations during labor." "Placenta previa is when my baby's umbilical cord delivers before my baby does." "I had some bleeding a couple of weeks ago but decided not to mention it to my doctor."
a
The nurse in a prenatal care setting is caring for a woman at 39 weeks' gestation. The healthcare provider is going to strip the client's membranes. The client asks the nurse what this will do. What would be the best response by the nurse? open double quote"Stripping the membranes releases prostaglandins that may help labor begin.close double quote" open double quote"Stripping the membranes releases progesterone that will prevent preterm labor.close double quote" open double quote"Stripping the membranes will help stimulate the fetus.close double quote" open double quote"Stripping the membranes will cause the fetus to drop lower in the pelvis.close double quote
a
The nurse is at the bedside of a client in active labor, reviewing the fetal heart tracing. There is moderate variability; no decelerations below baseline; and periodic accelerations are evident. The client asks how the tracing looks. What is the nurse's best response? open double quote"This tracing looks very good. The baby is showing all the signs of well-beingclose double quote" open double quote"The baby is having a little difficulty. Let's turn you on your side to see whether we can improve his circulation.close double quote" open double quote"There is no way to tell the baby's status from this tracing. We will have to monitor him for another hour and re-evaluate it.close double quote" open double quote"You might need a cesarean.close double quote
a
The nurse is evaluating client teaching about labor contractions. Which statement by the client indicates that the teaching has been effective? open double quote"My contractions are three minutes apart, counting from the beginning of one contraction until the beginning of the next contraction.close double quote" open double quote"My contractions are three minutes apart, counting from the beginning of one contraction to the end of the next contraction.close double quote" open double quote"My contractions are three minutes apart, counting from the end of one contraction until the beginning of the next contraction.close double quote" open double quote"My contractions are three minutes apart, counting from the beginning to the end of the same contraction.close double quote
a
While assessing a postpartum client, the nurse extends the client's leg and dorsiflexes the foot. The client asks the nurse what the purpose of the action is. The nurse responds that it: Checks for the presence of blood clots in the leg. "Evaluates for early signs of uterine infection." Decreases uterine cramping when nursing. Maintains joint mobility.
a
There are four laboring clients on the labor and delivery unit. Which client demonstrates the highest risk of a prolapsed cord? 38 weeks, 3 cm dilated, 50% effaced, -5 station, ruptured membranes 40 weeks, 8 cm, 75% effaced, 0 station, intact membranes 38 weeks, 3 cm dilated, 80% effaced, 0 station, intact membranes 39 weeks, 9 cm dilated, 100% effaced, +1 station, ruptured membranes
a, higher station
Which events are signs of true labor? (Select all that apply.) Activity does not decrease contractions Contractions that become more intense Regular contraction patterns Position change lessens contractions Cervical dilation
abce
Labor induction is indicated in which maternal or fetal conditions? (Select all that apply.) Fetal compromise Infection Transverse fetal lie Preeclampsia Unfavorable cervix
abd
The nurse is instructing a pregnant client on the signs of impending labor. What should the nurse include as premonitory signs of labor? (Select all that apply.) Easier breathing Bloody show Decreased vaginal discharge Burst of energy Increased fatigue
abd
The nurse is assessing clients in the prenatal clinic. Which are maternal risk factors for preterm labor? (Select all that apply.) Maternal genital tract infection Preterm premature rupture of membranes Maternal obesity Intrauterine bleeding African American ethnicity
abde
A client at 39 weeks' gestation is demonstrating signs of beginning labor. The nurse realizes that which hormonal action is occurring, resulting in the onset of labor? Decrease in prostaglandins Increase in estrogen Increase in progesterone Decrease in corticosteroids
b
At a routine prenatal visit, the nurse and the client are discussing methods of establishing fetal well-being while discussing what to expect in labor. The client asks, open double quote"I read online that the fetal monitor has high sensitivity and low specificity. What does that mean?close double quote" What is the nurse's best response? open double quote"The electronic monitor doesn't do anything for the baby. Its main use is to provide evidence in lawsuits over bad outcomes.close double quote" open double quote"The monitor is very good in reassuring us that the baby is doing well but not so good at confirming that the baby is compromised. If the monitor looks good, we know the baby is okay. If we see signs of a problem, the baby is often doing well anyway.close double quote" open double quote"The fetal monitor can tell us with certainty if the baby is in trouble and needs to be delivered right away by cesarean.close double quote" open double quote"That's a very complicated question and it's nothing for you to worry about. The midwife will decide whether monitoring is appropriate for your baby.close double quote
b
During the fourth stage of labor, the client's assessment includes BP 110/60 mmHg and P 90 bpm. The fundus is firm and midline, and halfway between the symphysis pubis and the umbilicus. What should be the nurse's priority action? Place the bed in Trendelenburg position Continue to monitor Massage the uterine fundus Turn the client onto her left side
b
For which reason would the nurse add a urinary catheter to the delivery room table before a vaginal birth? It is added to enhance the woman's comfort during the last stage of labor. An empty bladder provides more room on the pelvic floor. It is completed as a safety mechanism for the fetus. If the operative vaginal birth fails, the nurse must be prepared for a cesarean birth.
b
The midwife asks the nurse to assist the laboring client with McRoberts maneuver to help with shoulder dystocia. Which nursing action is appropriate with this maneuver? Apply firm pressure to the fundus until the shoulder releases Ask the client to abduct and flex her hips Rotate the fetal shoulder 180 degrees Apply suprapubic pressure for 5 min
b
A client has just completed the second stage of labor. Which are the priority nursing assessments before placental delivery? (Select all that apply.) Assessment indicating that the top of the uterus is dropping down to the level of the symphysis pubis Documenting a gush of blood from the vagina Assessing the shape of the uterus as it changes from a disk shape to a globe Assessment indicating that the umbilical cord is shortening Assessing that the umbilical cord is lengthening
bce
A client who is gravida 5 para 5 delivers a large for gestational age (LGA) baby. What is priority postpartum nursing care for this client? Evaluate the client's diet. Offer fluids. Palpate the fundus. Perform passive range of motion to the extremities.
c
A goal of the nursing care plan for a postpartum woman is to "facilitate parent-infant bonding." The nurse would consider which nursing diagnosis a priority to meet this goal? Risk for interrupted family process due to hospitalization Parental role conflict related to additional child Potential for enhanced parental skills by increasing knowledge of infant care and comfort Readiness for enhanced parenting as evidenced by lack of interest in newborn care
c
A nurse is providing a laboring client preoperative teaching regarding a necessary cesarean birth. Which member of the interdisciplinary team will likely be involved in the collaborative care of the client? The ultrasonographer to assist in the placement of spinal anesthesia The phlebotomist to start the client's IV Respiratory Therapist to instruct client on deep breathing exercises and use of Incentive Spirometer (I.S.) Registered dietitian to calculate the patient's requirements for Total Parenteral Nutrition (TPN)
c
A pregnant client has delivered her first child at 36 1/2 weeks gestation and the baby weighs 5 lbs 3 oz. Which statement by the nurse is appropriate? "You delivered a near-term baby." "The baby was right on time and she was born at term." "Your baby is doing well for a preterm infant." "The baby's skin looks good for being post-term."
c
After walking for 30 minutes, the laboring client notices blood-tinged mucus on the underpad and notifies the nurse. The most appropriate interpretation by the nurse is: The fetus has had a bowel movement. The amniotic sac has ruptured. The cervix is opening more rapidly. The client has fallen and is injured.
c
The nurse is auscultating the fetal heart rate (FHR) with a Doppler for a client in active labor, and determines that it is 90 beats/min. What action will the nurse take first? Take the mother's blood pressure Call the health care provider Apply a continuous electronic fetal monitor Reposition the mother
c
The nurse is observing a postpartum mother regarding attachment behaviors toward the infant. Which behavior by the client would the nurse want to further observe? Holds the baby in the en face position. Talks to the baby during feedings. Lets the baby cry so it does not get spoiled. Lets the baby stay in the nursery for feeding at night.
c
The nurse is preparing an educational brochure about nonpharmacologic pain relief measures during childbirth. What is considered an advantage of these methods? Slowing of the labor process Eliminates the need for medications No side effects Minimally invasive
c
Which measurement is appropriate for the nurse to use to determine whether the cervix is favorable for induction? Premature rupture of the membranes (PROM) Apgar score Bishop Score Fetal heart rate
c
While caring for a client in active labor, the nurse notes a gradual decline in the fetal heart rate, beginning with the onset of a contraction and followed by a gradual return to baseline by the end of the contraction. Which response by the nurse is appropriate? Prepare for operative delivery Administer oxygen Continue to monitor Notify the health care provider
c
A laboring client suddenly sits up in bed, has dyspnea, becomes cyanotic, and has frothy sputum from her mouth. The nurse is unable to palpate a pulse. Which initial action by the nurse is the most appropriate? Obtain the client's blood pressure Assess the fetal heart rate Call for assistance and start cardiopulmonary resuscitation (CPR) Position the client on her side with her feet elevated
c (amniotic fluid embolism0
A client undergoing labor induction is uncomfortable with contractions and declines analgesia, preferring to walk and change positions frequently. The nurse notes frequent gaps in the fetal heart rate tracing and sections showing wide disparities in baseline fetal heart rate. What is the nurse's best response to these findings? Position the mother on her left side for maximum uteroplacental circulation Notify the health care provider of a suspected fetal arrhythmia Continue to monitor Reposition the ultrasound transducer
d
A postpartum client, who delivered 3 hours ago, states "I feel all wet underneath." Which is the best initial action by the nurse? Perform perineal care. Ask the client to rate her pain. Determine when the client last voided. Check the client's lochia flow.
d
After administration of an epidural block for labor analgesia, the client's blood pressure decreases from 130/75 to 90/50. What intervention should the nurse initiate next? Assist the client to empty the bladder. Put the client in a supine position. Raise the head of the bed to a semi-Fowler's position. Turn the client to a left lateral position.
d
During the postpartum checkup, a client tells the nurse that she's a terrible mother because she doesn't know what to do when her baby cries. She also reports insomnia, lack of energy, and anxiety. Which nursing diagnosis is appropriate for this client? Disturbed thought processes Risk for self-mutilation Disturbed sensory perceptions Ineffective coping
d
The nurse is assisting with the administration of an epidural to a laboring client. The nurse ensures that which intervention is included after the procedure? Suctioning Increasing intravenous fluids Placing client in prone position Blood pressure monitoring
d
The nurse is caring for a postpartum woman with a history of depression and who plans to breastfeed her baby. The nurse expects the physician to order the following: Fluoxetine (Prozac) Admission to the psychiatric unit Consult with child protective services Referral to a mental health professional for follow-up
d
The nurse is caring for a pregnant client in labor whose birth plan states open double quote"no pharmacologic pain interventionsclose double quote" during the labor and delivery process. Which statement by the nurse supports the client's birth plan? open double quote"No one is ever able to labor without needing some form of oral analgesic.close double quote" open double quote"I am going to start an IV because once you enter transition, you will need me to administer something to take the edge off the pain.close double quote" open double quote"I will have the anesthesiologist come in to talk to you about the benefits of an epidural.close double quote" open double quote"Let me know when you begin to feel uncomfortable. We can change your position and refocus your breathing to help manage the discomfort.close double quote
d
Which description best describes the orientation of the long axis of the fetus? Fetal attitude Fetal presentation Fetal position Fetal lie
d
Which of the following concepts would the nurse incorporate into the laboring client's plan of care? The expression of pain is universal. Childbirth pain is caused by physical factors only. Having a supportive partner present eliminates pain. Labor pain has physiological and psychological components.
d
The nurse is caring for a primigravid client whose cervix is dilated at 8 cm; the fetus is at +1 station; and the client has no analgesia or anesthesia. Which action would be a priority for the nurse? Providing frequent perineal cleansing Offering encouragement and support Giving frequent sips of water Applying extra blankets for warmth
b
The nurse notes that a postpartum client is Rh negative and the baby is Rh positive. Which maternal laboratory result should the nurse review in determining if the client should receive Rhogam? Hemoglobin Indirect Coombs test Direct Coombs test Bilirubin
b
When planning care for a client in the first stage of labor, which priority diagnosis should the nurse consider? Health-seeking behaviors related to the involution process and self-care needs Acute pain related to uterine contractions, cervical dilation, and fetal descent Risk for injury related to disorientation Formulating a nursing diagnosis is not necessary
b
Which incision is most commonly used for a cesarean delivery? Low vertical Low transverse Your answer is correct. Classic High transverse
b
A client is going to have a cephalic version at 38 weeks' gestation for a breech presentation. Which statement by the client indicates appropriate understanding of the procedure? "After the baby is turned, I must remain in bed." "My baby will be turned to a head-down position." "My baby's head will be turned slightly to make the delivery easier." "The procedure cannot be stopped even if my baby shows signs of distress."
B
After suctioning to clear the airway of a term neonate who appears in good condition after a spontaneous vaginal delivery, which action would the nurse perform next? Instill erythromycin in the baby's eyes Place the neonate skin to skin with the mother Obtain the neonate's weight Put identification bracelets on each wrist
B
A laboring client at 39 weeks' gestation has been pushing for 2 hours. The nurse anticipates that the healthcare provider may choose to use forceps to assist in the delivery. What criteria must be met to consider forceps? (Select all that apply.) Cephalopelvic disproportion should be present. The cervix must be fully dilated. Adequate maternal anesthesia should be provided. Membranes must be ruptured. The maternal bladder should be full.
bcd
If the nurse administers the ripening agent Cervidil or Prepidil to a pregnant client, which situations can the nurse expect to be associated with the drug? (Select all that apply.) Difficulty in administration Postpartum hemorrhage Uterine tachysystole Nonreassuring fetal status The need for more oxytocin during labor
bcd
The nurse is caring for a woman after a cesarean delivery with a low transverse incision. What are the advantages of a low transverse uterine incision versus a classical incision for a cesarean birth? (Select all that apply.) More appropriate for preterm births or multiple gestations Involves less blood loss Easier to repair surgically Less likely to rupture with subsequent pregnancies Can extend downward into the cervix
bcd
Which risks are associated with postpartum depression? (Select all that apply.) Edema Hemorrhage Suicide Infanticide Homicide
c,d
Which statement correctly describes the transition phase of the first stage of labor? Longest stage, lasting 8dash-10 hr The fetus descends into the maternal pelvis and rotates internally Onset of labor through cervical dilation of 3 cm Dilation reaches 8dash-10 cm, ending the first stage of labor
d
Discharge teaching is being conducting by the charge nurse to a client with postpartum depression. Which resource option would be inappropriate for the nurse to provide to the client? Referrals to public health nursing services Emergency services Faith-based services Social services
C
Leah Wilson is a 28-year-old client who is 30 hr postcesarean delivery of a healthy 7 lb 4 oz. male infant. When performing the initial assessment, the nurse notes that she has an oral temperature of 102.4°F; she is complaining of general weakness, malaise, and chills; and she states that her vaginal discharge "smells bad." Based on these findings, what does the nurse report to the health care provider? A urinary tract infection Normal postsurgical inflammation Endometritis A wound infection
C
The nurse reviews a postpartum client's chart and notes the client may have Percocet for pain. The nurse will monitor for which complication of the medicine? Frequent urination Decreased respirations Constipation Dry mouth
C
What is the maximum length of time a vacuum extractor can be used without increasing the risk of injury to the fetal scalp? 10 min 5 min 15 min 30 min
a
