Flashcards in Ch. 21 Postpartum Adaptations Deck (13)
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1
Q
- A postpartum woman overhears the nurse tell the obstetrics clinician that she has a positive Homans sign and asks what it means. The nurse’s best response is:
A
“You have calf pain when the nurse flexes your foot.”
2
Q
- Which woman would be most likely to have severe afterbirth pains and request a narcotic analgesic?
A
Gravida 5, para 5
3
Q
- Which maternal event is abnormal in the early postpartum period?
A
Lochial color changes from rubra to alba
4
Q
- Which finding 12 hours after birth would require further assessment?
A
The fundus is palpable two fingerbreadths above the umbilicus.
5
Q
- If the client’s white blood cell (WBC) count is 25,000/mm on her second postpartum day, the nurse should:
A
recognize that this is an acceptable range at this point postpartum.
6
Q
- Postpartal overdistention of the bladder and urinary retention can lead to which complication?
A
Postpartum hemorrhage and urinary tract infection
7
Q
- A postpartum client asks, “Will these stretch marks go away?” The nurse’s best response is:
A
“They will fade to silvery lines but won’t disappear completely.”
8
Q
- A pregnant client asks when the dark line on her abdomen (linea nigra) will go away. The nurse knows the pigmentation will decrease after delivery because of:
A
decreased melanocyte-stimulating hormone.
9
Q
- If the fundus is palpated on the right side of the abdomen above the expected level, the nurse should suspect that the client has:
A
a distended bladder.
10
Q
- The Centers for Disease Control and Prevention (CDC) recommends the use of personal protective equipment when the nurse is likely to come into contact with:
A
blood and blood products.
11
Q
- Rho immune globulin will be ordered postpartum if which situation occurs?
A
Mother Rh–, baby Rh+
12
Q
- If rubella vaccine is indicated for a postpartum client, instructions to the client should include:
A
an explanation of the risks of becoming pregnant within 3 months after injection.
13
Q
- Which nursing action is most appropriate to correct a boggy uterus that is displaced above and to the right of the umbilicus?
A
Assist the client in emptying her bladder.