Postpartum OB

Nurse suspects that client has a pulmonary embolism. Which is the most important nursing action?

Administer oxygen by face mask, as prescribed

To prevent thrombophlebitis post c section the nurse should encourage the woman to take which priority action?

Ambulate frequently

A nurse in a provider's office is caring for a client who is breastfeeding and is 4 days postpartum. The client reports breast engorgement. Which of the following recommendation should the nurse make?

Apply cold cabbage leaves between feedings

After delivery the nurse checks the height of the fundus. Which position of the fundus should the nurse expect to note?

At the level of the umbilicus

The nurse notes that the 4 hour postpartum client has cool, clammy skin and that she is restless and excessively thirsty. Nurse immediately notifies RN and then performs which action?

Checks the vital signs

A client who is breastfeeding has mastitis. Which of the following should the nurse reinforce to the client?

Completely empty each breast at each feeding

A nurse is collecting data from a postpartum client. Which of the following findings indicate bladder distention? Select all that apply

Displaced fundus from the midline, excessive lochia, bladder tenderness, bulging bladder above symphysis pubis

A nurse is caring for a client who has a UTI. Which of the following is the typical causative agent of infection?

E. Coli

A nurse is caring for a client who has disseminated intravascular coagulation. Which of the following postpartum complications is a risk factor for this client?

Hemorrhage

Further teaching about breastfeeding is needed when client says:

I don't need birth control because I'll be breastfeeding

The nurse is caring for a postpartum client. At 4 hours postpartum, the client's temperature is 102. Which is the appropriate nursing action?

Notify the RN, who will then contact the health care provider

The nurse is assisting with planning care for a postpartum woman who has small vulvar hematomas. To assist with reducing the swelling, the nurse should perform which action?

Prepare an ice pack for application to the area

What should the nurse do for a client with a vulvar hematoma?

Prepare the client for surgery

A nurse is caring for a family who has a newborn. The father appears very anxious and nervous when the mother asks him to bring her the newborn. Which of the following is an appropriate nursing intervention to promote father-infant bonding?

Provide education about newborn care when the father is present

Nurse palpates the fundus and checks the character of the lochia of a postpartum client who is in the fourth stage of labor. Which lochia characteristic should the nurse expect to note?

Red

Which instructions should be included for a patient with mastitis? Select all that apply

Rest during acute phase, wear a supportive nonunderwire bra, maintain a fluid intake of at least 3,000 ml, continue to breastfeed if the breasts are not too sore

A nurse is reinforcing discharge instructions for a client. Which of the following should the nurse instruct the client to report to the provider?

Sore nipples with cracks and fissures

Nurse notes a trickle of bright red blood and firm fundus post episiotomy and delivery. Which determination should the nurse make?

The bright red bleeding is abnormal and should be reported

Client asks the nurse what the term involution means. Which description should the nurse give to the client?

The progressive descent of the uterus into the pelvic cavity, which occurs at a rate of approximately 1 cm/day

After delivery, the uterus contracts and gradually returns to its prepregnant state. This is known as which of the following?

Uterine Involution

Nurse is caring for postpartum client with thrombophlebitis, who suddenly complains of chest pain and dyspnea. What should the nurse check first?

Vital signs

A nurse is caring for a postpartum client. Which of the following findings are the earliest indications of hypovolemia caused NY hemorrhage?

Increasing pulse and decreasing blood pressure

The nurse is assisting with caring for a postpartum client who is experiencing uterine hemorrhage. When planning to the meet the psychosocial needs of the client, the nurse should plan which action?

Keeping the client and her family members informed of her progress

The nurse should encourage the mother to do which to provide relief of the engorgement?

Massage the breasts before feeding to stimulate let-down

A nurse is providing care for a postpartum client who is experiencing a postpartum hemorrhage. Which of the following medications may be prescribed by the provider? Select all that apply

Methylergonovine( methergine), misoprostol (cytotec), carboprost (hemabate), oxytocin (pitocin)