She just voided 200 mL of clear yellow urine. Within 24 hours of delivery, Diane begins to complain of pain in the pelvic region. The nurse in a labor room is assisting with the vaginal delivery of a newborn infant. d)Temperature of 38% C or higher after the first 24 hours after childbirth. The nurse has been working with a laboring client and notes that she has been pushing effectively for 1 hour. Which of the following should alert the nurse to a potential infection in the client? Which maternal observation could indicate uterine inversion and require immediate intervention? A nurse is caring for a client in the postpartum period. The nurse is caring for a client in labor and is monitoring the fetal heart rate patterns. The nurse plans care, knowing that this identifies which category of decelerations? Which nursing intervention should be implemented after the epidural block has been placed? 4. She had a cesarean birth and received deep, general anesthesia. Which statement should the nurse include in her teaching? 2. When reviewing the client's history, the nurse notes she has a history of asthma. The nurse documents these observations as signs of which condition? Continuous electronic fetal monitoring. The nurse is performing an assessment of a client who is scheduled for a cesarean delivery at 39 weeks of gestation. Which analgesic is contraindicated for a client who has a history of opioid dependency? In preparing for a class in teaching women and their partners, which of the following would be the most important to emphasize as helping to prevent postpartum complications? What is one of them? Turn the client on her side and administer oxygen by face mask at 8 to 10 L/min. Which of the following would be most important for the nurse to assess when determining the severity of the prolapse? A nurse is caring for a client with a postpartum laceration. Which areas would you need to assess before the woman ambulates? A nurse is assigned to care for a client with deep vein thrombosis who has to undergo anticoagulation therapy. The next day, she appears ill; fever is 102.9 degrees; WBC is 31,500 cells/mm3; blood cultures are negative. Two weeks after their baby is born, Tom calls to report that his wife Sylvia is behaving strangely. Which of the following actions would be most appropriate to relieve this pain? The nurse is assisting a client undergoing induction of labor at 41 weeks of gestation. Based on this finding, the nurse should prepare for which appropriate nursing action? The nurse is assessing the breast of a woman who is 1 month postpartum. Following examination, it is determined that her membranes are still intact and she is at a -2 station. Samantha delivered her fourth child after protracted and difficult labor during which oxytocin was used to augment her contractions. The vital signs are: T 101.2°F; HR 82; RR 18; BP 125/78. Obtain equipment for a manual pelvic examination. The nurse in a delivery room is assessing a client immediately after delivery of the placenta. Which of the following is the most likely expected outcome that the nurse will identify for this patient related to this condition? What will the nurse relay to the client as the most likely outcomes of the amniotomy? Comfort measures and medication fail to eliminate the pain, her pulse is rapid, and her blood pressure, hematocrit, and hemoglobin are low. Which of the following causes of the hemorrhage is most likely in this client? 2. 2. The nurse is assessing a pregnant client in the second trimester of pregnancy who was admitted to the maternity unit with a suspected diagnosis of abruptio placentae. The fetal heart rate (FHR) is 154 beats/min and is regular, and contractions have moderate intensity, occur every 5 minutes, and have a duration of 35 seconds. What would be an important instruction for this patient? A client has had a cesarean birth. A woman is two weeks postpartum when she calls the clinic and tells the nurse that she has a fever of 101°F. The nurse monitors the woman closely for which of the following adverse effects? Este banco de palabras (español-inglés) de terminología del Seguro Social contiene palabras y expresiones comunes así como terminología técnica del Seguro Social. The health care provider (HCP) has prescribed an intravenous (IV) infusion of oxytocin. She calls you to her room complaining of pain "deep inside." Select all that apply. Ce document a été rédigé par Emma Kahn et Vincent Reliquet à la demande de la Coordination Santé Libre dans le but d'éclairer l'opinion du groupe quant à la pertinence d'une vaccination anti-Covid dans les conditions actuelles, à l'aune de ce qui peut être décrit, connu et prévisible en Février… The nurse is providing emergency measures to a client in labor who has been diagnosed with a prolapsed cord. 3. The nurse is caring for a client in the transition phase of the first stage of labor. Which complication is most likely responsible for a late postpartum hemorrhage? Disseminated intravascular coagulation is a life-threatening condition that the nurse recognizes can occur as a complication secondary to which of the following primary conditions? Oh no! Which assessment finding should indicate to the nurse that the infusion needs to be discontinued? The majority of women who experience postpartal psychosis had no symptoms of mental illness before pregnancy. 3. Place the client in Trendelenburg's position. Uterine atony, or the inability of the uterus to effectively contract, has four major causes. What do you assess the fundus for? On confirmation of labor, the client reports a history of herpes simplex virus (HSV) to the nurse, who notes the presence of lesions on inspection of the client's perineum. Select all that apply. The nurse is required to administer the prescribed methylergonovine maleate intramuscularly to the client. 1. A client in labor is transported to the delivery room and prepared for a cesarean delivery. The nurse should monitor the client closely for the risk of uterine rupture if which occurred? A woman in active labor has requested a regional anesthetic. The nurse has collected the following data on a client in labor. a)She should continue to breast-feed; mastitis won't infect the neonate, A nurse discovers a perineal hematoma in a woman who has recently given birth. Select all that apply. Shortly after receiving epidural anesthesia, a laboring woman's blood pressure drops to 95/43 mm Hg. Which is the priority nursing action after this procedure? The nurse is reviewing true and false labor signs with a multiparous client. The nurse is reviewing the record of a client in the labor room and notes that the health care provider has documented that the fetal presenting part is at the -1 station. Document the findings and continue to monitor fetal patterns. 4. Gestational age of the fetus is determined to be 37 weeks. Which of the following assessments would lead you to believe a postpartal woman is developing a urinary complication? 1. The nurse performs a vaginal assessment on a pregnant client in labor. Palpating the maternal radial pulse while listening to the FHR. Assess the vagina and cervix with a gloved hand. (Select all that apply.). a)Symptoms include fever, chills, malaise, and localized breast tenderness. Introduction. Which assessment finding should the nurse expect to note if this condition is present? Which nursing actions should be included in the care plan for this client? 3. She has a history of postpartum hemorrhage with her previous births. The nurse is teaching a client with newly diagnosed mastitis about her condition. What would be your best response? Which action should the nurse take to determine fetal heart sounds accurately? The nurse is caring for a client in labor and prepares to auscultate the fetal heart rate (FHR) by using a Doppler ultrasound device. Which of the following instructions should the nurse offer the client as a caution when the client receives anticoagulation therapy? The baseline fetal heart rate has been 120 to 122 beats/minute for the past hour. On assessment of the fetal heart rate (FHR) of a laboring woman, the nurse discovers decelerations that have a gradual onset, last longer than 30 seconds, and return to the baseline rate with the completion of each contraction. Which of the following instructions should the nurse offer a client as primary preventive measures to prevent mastitis? Which measurement best describes delayed postpartum hemorrhage? The nurse has created a plan of care for a client experiencing dystocia and includes several nursing actions in the plan of care. The nurse reviews the health care provider's prescriptions and should question which prescription? The nurse is performing an assessment on a client diagnosed with placenta previa. You are the nurse giving an educational presentation to the local Le Leche league chapter. Which is the initial nursing action? Evolution des crimes et délits enregistrés en France entre 2012 et 2019, statistiques détaillées au niveau national, départemental et jusqu'au service de police ou gendarmerie Associations : Subventions par mot dans les noms des associations One of the primary assessments you, as a postpartum nurse, make every day is for postpartum hemorrhage. A prenatal client with severe abdominal pain is admitted to the maternity unit. What is the priority nursing action? Which of the following is the most likely nursing diagnosis for this patient? On assessment, the nurse notes a slowing of the fetal heart rate and a loss of variability. A client in labor is dilated 10 cm. Using this information, what is the appropriate action for the nurse to take? On assessing the fetal patterns, the nurse notes an early deceleration of the fetal heart rate (FHR) on the monitor strip. When assessing the patient for postpartum hemorrhage the nurse monitors which of the following every hour? Monitoring the mother's blood pressure. The nurse is assessing the fetal patterns and notes a late deceleration on the monitor strip. Her uterus is still enlarged and soft, and lochial discharge is still present. 4. The nurse collects a urine specimen for culture from a postpartum woman with a suspected urinary tract infection. Which of the following is least likely to be screened with this tool? When the infant's head crowns, what instruction should the nurse give the client? There are 545 NCLEX -style practice questions partitioned in 8 sets. The health care provider has prescribed an intravenous (IV) infusion of oxytocin. When planning care for a postpartum patient, the nurse is aware the most common site for postpartum infection is which of the following? Click on the image to indicate your answer. On the basis of these assessment findings, what is the appropriate nursing action? After the delivery, the nurse observes the umbilical cord lengthen and a spurt of blood from the vagina.
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