POSTPARTUM NURSING CARE – COMPLICATIONS OF THE POSTPARTUM PERIOD CH. 20-22 – Flashcards
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A NURSE IS CARING FOR A CLIENT WHO IS POSTPARTUM. THE NURSES SHOULD IDENTIFY WHICH OF THE FOLLOWING FINDINGS AS AN EARLY INDICATOR OF HYPOVOLEMIA CAUSED BY HEMORRHAGE?
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A.) INCREASING PULSE AND DECREASING BLOOD PRESSURE
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A NURSE EDUCATOR ON THE POSTPARTUM UNIT IS REVIEWING RISK FACTORS FOR POSTPARTUM HEMORRHAGE WITH A GROUP OF NURSES. WHICH OF THE FOLLOWING FACTORS SHOULD THE NURSE INCLUDE IN THE TEACHING (SELECT ALL THAT APPLY)?
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A.) PRECIPITOUS DELIVERY C.) INVERSION OF THE UTERUS E.) RETAINED PLACENTAL FRAGMENTS
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A NURSE ON THE POSTPARTUM UNIT IS PERFORMING A PHYSICAL ASSESSMENT OF A CLIENT WHO IS BEING ADMITTED WITH A SUSPECTED DEEP-VEIN THROMBOSIS (DVT). WHICH OF THE FOLLOWING CLINICAL FINDINGS SHOULD THE NURSE EXPECT (SELECT ALL THAT APPLY)?
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A.) CALF TENDERNESS TO PALPATION C.) ELEVATED TEMPERATURE D.) AREA OF WARMTH
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A NURSE ON THE POSTPARTUM UNIT IS PLANNING CARE FOR A CLIENT WHO HAS THROMBOPHLEBITIS. WHICH OF THE FOLLOWING NURSING INTERVENTIONS SHOULD THE NURSE INCLUDE IN THE PLAN OF CARE
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D.) MEASURE LEG CIRCUMFERENCES
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A NURSE IS CARING FOR A CLIENT WHO HAS DISSEMINATED INTRAVASCULAR COAGULATION (DIC). WHICH OF THE FOLLOWING ANTEPARTUM COMPLICATIONS SHOULD THE NURSE UNDERSTAND IS A RISK FACTOR FOR THIS CONDITION.
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A.) PREECLAMPSIA
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A NURSE ON THE POSTPARTUM UNIT IS CARING FOR FOUR CLIENTS. WHICH OF THE FOLLOWING CLIENTS SHOULD THE NURSE RECOGNIZE AS THE GREATEST RISK FOR DEVELOPMENT OF A POSTPARTUM INFECTION?
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B.) A CLIENT WHO HAD PREMATURE RUPTURE OF MEMBRANES AND PROLONGED
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A NURSE IS TEACHING A CLIENT WHO IS BREASTFEEDING AND HAS MASTITIS. WHICH OF THE FOLLOWING RESPONSES SHOULD THE NURSE MAKE?
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C.) COMPLETELY EMPTY EACH BREAST AT EACH FEEDING OR USE A PUMP
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A NURSE IS REVIEWING DISCHARGE TEACHING WITH A CLIENT WHO HAS A URINARY TRACT INFECTION. WHICH OF THE FOLLOWING STATEMENTS BY THE CLIENT INDICATES UNDERSTANDING OF THE TEACHING (SELECT ALL THAT APPLY)?
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B.) I WILL DRINK CRANBERRY AND PRUNE JUICES TO MAKE MY URINE MORE ACIDIC C.) I WILL DRINK LARGE AMOUNTS OF FLUIDS TO FLUSH THE BACTERIA FROM MY URINARY TRACT E. I WILL TAKE TYLENOL FOR ANY DISCOMFORT
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A NURSE IS CARING FOR A CLIENT WHO HAS MASTITIES. WHICH OF THE FOLLOWING IS THE TYPICAL CAUSATIVE AGENT OF MASTITIES
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A.) STAPHYLOCOCCUS AUREUS
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A NURSE IS DISCUSSING RISK FACTORS FOR URINARY TRACT INFECTIONS WITH A NEWLY LICENSED NURSE. WHICH OF THE FOLLOWING CONDITIONS SHOULD THE NURSE INCLUDE IN THE TEACHING (SELECT ALL THAT APPLY)?
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A.) EPIDURAL ANESTHESIA B.) URINARY BLADDER CATHETERIZATION C.) FREQUENT PELVIC EXAMINATION D.) HISTORY OF UTI'S
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A NURSE IS ASSESSING A POSTPARTUM CLIENT WHO IS EXHIBITING TEARFULNESS, INSOMNIA, LACK OF APPETITE AND A FEELING OF LETDOWN. WHICH OF THE FOLLOWING CONDITIONS ARE ASSOCIATED WITH THESE CLINICAL FINDINGS?
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D.) POSTPARTUM BLUES
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A NURSE IS CARING FOR A POSTPARTUM CLIENT WHO DELIVERED HER THIRD INFANT 2 DAYS AGO. THE NURSE RECOGNIZES THAT WHICH OF THE FOLLOWING FINDINGS ARE SUGGESTIVE OF POSTPARTUM DEPRESSION (SELECT ALL THAT APPLY)?
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A.) FATIGUE B.) INSOMNIA D.) FLAT AFFECT
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A NURSE IS ASSESSING A CLIENT WHO HAS POSTPARTUM DEPRESSION. THE NURSE SHOULD EXPECT WHICH OF THE FOLLOWING FINDINGS (SELECT ALL THAT APPLY)?
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B.) CONCERNS ABOUT LACK OF INCOME TO PAY BILLS C.) ANXIETY ABOUT ASSUMING A NEW ROLE AS A MOTHER D.) RAPID DECLINE IN ESTROGEN AND PROGESTERONE E.) FEELING OF INADEQUACY WITH THE NEW ROLE AS A MOTHER
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A NURSE IS CARING FOR A CLIENT WHO HAS POSTPARTUM PSYCHOSIS. WHICH OF THE FOLLOWING ACTIONS IS THE NURSE'S PRIORITY?
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B.) ASK THE CLIENT IF SHE HAS THOUGHTS OF HARMING HERSELF OR HER INFANT
