Which assessment finding would indicate hemorrhage in the postpartum patient quizlet. Retained placental fragments 5.

Which assessment finding would indicate hemorrhage in the postpartum patient quizlet The nurse determines that the client is beginning in the 2nd stage of labor when which of the following assessments is noted? A. A temperature of 100. Which clinical condition would the nurse The LPN/LVN is assisting in the care of a patient who is experiencing postpartum hemorrhage (PPH). --If the perineal pad saturates within 2 hours, that indicates the patient has severe bleeding and is at risk for postpartum hemorrhage. Notify a health care provider. The patient's blood loss is 350 mL after a vaginal delivery. The patient is 8 hours postpartum. Notify the physician C. Study with Quizlet and memorize flashcards containing terms like What are the retrogressive and progressive maternal changes the nurse should expect to see in a patient who is postpartum?, What is considered a normal and abnormal postpartum temperature?, What is considered a normal and abnormal postpartum heart rate? and more. Which is the immediate nursing action? 1. a temperature of 100. amniocentesis b. Firm fundus at the midline b. 4 F 2. The contractions are regular C. It means the patient needs a blood transfusion. Less than 300 mL/24 hours B. which instructions would be included in Which assessment finding would indicate retained placental fragments as a cause of bleeding? 2 A postpartum client who was discharged home returns to the primary health care facility after 2 weeks with reports of fever and pain in the breast. Recommend frequent position changes. In the immediate postpartum period the nurse plans to take the woman's vital signs: 1. Retained placental fragments 5. Which interventions would help identify and care for hypovolemic shock? Select all that apply. In the immediate postpartum period the nurse plans to take Study with Quizlet and memorize flashcards containing terms like A postpartum nurse is preparing to care for a woman who has just delivered a healthy newborn infant. A priority assessment before the administration of the medication is to check the blood pressure. Giving an intramuscular analgesic, The nurse admits a client with preeclampsia to the high-risk Study with Quizlet and memorize flashcards containing terms like The nurse is monitoring a postpartum client who received epidural anesthesia for delivery for the presence of a vulvar hematoma. The nurse is monitoring a client in the immediate postpartum period for signs of hemorrhage. Eclampsia 2. Which patient finding would indicate that patient is experiencing a mild degree of shock. Which maternal event is abnormal in the early postpartal Study with Quizlet and memorize flashcards containing terms like 2. Today, however, the nurse has been assigned to help care for women who are less than 24 hours post-cesarean birth. Administering oxytocin 4. What response by the perinatal nurse is most appropriate? A. Is a normal postpartum finding. Which instruction would be included in this client's teaching plan?, Which is a primary focus of teaching for a pregnany adolescent at her first prenatal clinic visit? and others. Which assessment finding would alert the nurse to a vaginal hematoma? Firm midline fundus with heavy bleeding Bilateral labial edema Report of severe pain in the vaginal area. The patient's bleeding was light. Keep the room lights lit so the client and her coach can see everything. The patient's normal bleeding amount during menstruation, A primipara delivered a newborn by vaginal birth 2 days ago. Because the patient delivered a large infant with a small dose of intravenous pain medication, what action would Study with Quizlet and memorize flashcards containing terms like Which condition would lead the nurse to advise a postpartum client to avoid direct breastfeeding?, Which assessment finding would indicate to the nurse that an infant is latched on to the mother's breast and is receiving the mother's milk?, Which complications would the nurse recognize as being associated with late Study with Quizlet and memorize flashcards containing terms like A lactating patient reports a tingling sensation in the breasts along with abdominal cramping. Indicates the need for increasing ambulation. Uterine atony b. Which statements should be included? Select all that apply. A nurse is caring for a client who Study with Quizlet and memorize flashcards containing terms like The nurse is conducting a postpartum examination on a client who reports pain and is unable to sit comfortably. Purulent drainage from outer aspect of incision 3. The client reports engorgement. 3°C). disappointment in the characteristics of the infant b. Drawing blood for a hematocrit level 4. A nursing student is preparing to give a pregnant woman heparin for a deep vein thrombosis (DVT). 1) Study with Quizlet and memorize flashcards containing terms like Review the "Nurses Notes" below, then click to select the assessment data that requires follow-up by the nurse. Low estrogen levels C. b. A primiparous client who delivered 6 hours Study with Quizlet and memorize flashcards containing terms like A postpartum client who had a cesarean delivery reports fever, loss of appetite, pelvic pain, and foul-smelling lochia. Stress management and support systems are important in pregnancy. Have the student hold the dose and Study with Quizlet and memorize flashcards containing terms like The nurse is used to working on the postpartum floor taking care of women who have had normal vaginal births. The correct sequence of these changes is a) Taking-in, taking-hold, Quantitative blood loss 800 mL BP 90/50 mm Hg HR 120 bpm Patient reports feeling weak Boggy uterus Distended bladder Rationale:Postpartum hemorrhage is defined as loss of more than 500 mL of blood following vaginal delivery. B) Although blood can pool in the vagina and thus pour out when the client stands, this does not constitute a Which assessment finding would indicate retained placental fragments as a cause of bleeding? a)soft and boggy uterus that deviates from the midline b)Large uterus with painless dark red blood mixed with clots c)firm uterus with trickle of bright red blood in perineum d)firm uterus with a steady stream of bright red blood Study with Quizlet and memorize flashcards containing terms like Assessment of a primigravida at 32 weeks' gestation shows a blood pressure of 170/110 mm Hg, 4+ proteinuria, and edema of the face and extremities. Which assessment finding would lead the nurse to suspect a postpartum hemorrhage? Blood loss of A. The report given Study with Quizlet and memorize flashcards containing terms like The earliest finding in postpartum hypovolemic shock is usually, A bleeding laceration is typically manifested by:, During the postpartum period the white blood cell count is normally: and more. A moderate flow of lochia rubra on day 3 postpartum, changing to serosa on day 5, is a normal Study with Quizlet and memorize flashcards containing terms like 1. A maternal pulse rate that would be high normal at other times may indicate hemorrhage or infection in the postpartum patient. Assessment reveals that the woman is experiencing profuse bleeding. hfrederick277. Saturation of Test your knowledge on assessment frequencies and the signs of serious postpartum conditions to ensure comprehensive patient care. Which of the following are expected findings? select all a. What could be a potential etiology for this finding? A. Red rubra on day 4 may indicate bleeding, and the health care provider should be notified. Every 15 minutes during the first hour and then Study with Quizlet and memorize flashcards containing terms like Which intrapartal factors can contribute to a postpartum infection?, The nurse is assessing a patient with postpartum hemorrhage (PPH). Based on the involution process, which finding does the nurse expect to see when assessing the patient?, After the delivery of a baby, the nurse instructs the patient to immediately start breastfeeding. A multiparous client who delivered 6 hours ago C. Which condition would the nurse document related to these findings? 1. What were the identifiable rest factors that indicated postpartum hemorrhage or the patient, Oxytocin is it ministered to patient in order to minimize Blood loss. Which patient should the nurse evaluate first? 1. which assessment finding would indicate possible chorioamnionitis 1. Progesterone levels C. Patient who is breastfeeding her second child, Which maternal event is abnormal in the early postpartal Study with Quizlet and memorize flashcards containing terms like 330. The nurse realizes that some areas will not be assessed. A blood pressure change from 130/88 to 124/80 mm Hg A blood pressure change from 130/88 to 124/80 mm Hg is not a significant change. The nurse notes that the lochia is red and has a foul-smelling odor. 1 Increasing the client's intravenous fluid drip rate 2 Placing the client in the extreme Trendelenburg position 3 Administering oxygen to the Study with Quizlet and memorize flashcards containing terms like Which diagnostic test would the nurse expect the health care provider to prescribe when confirming deep vein thrombosis in a postpartum patient a) arterial blood gas b) chest radiograph c) pulmonary angiogram d) venous ultrasonography, which medication would not be given to a patient on anticoagulant therapy a) Continue to monitor the woman's temperature every 4 hours; this finding is normal. An increase in the pulse from 88 to 110 beats/min Tachycardia is one of the early signs of hypovolemic shock. After the nurse assesses a woman's uterus and finds it soft and boggy with no improvement after massage, which is the priority intervention? 1) Notifying the provider 2) Assessing the bladder 3) Inserting a catheter 4) Having the woman breastfeed, 2. Study with Quizlet and memorize flashcards containing terms like The nurse is monitoring a client in the immediate postpartum period for signs of hemorrhage. What diagnosis would the nurse expect based on these Study with Quizlet and memorize flashcards containing terms like Which nursing intervention is most beneficial in promoting infant bonding for the new parent of a newborn? A. Which sign, if noted, would be an early sign of excessive blood Study with Quizlet and memorize flashcards containing terms like Which patient would be most likely to have severe afterbirth pains and request a narcotic analgesic? a. Study with Quizlet and memorize flashcards containing terms like A postpartum nurse is preparing to care for a woman who has just delivered a healthy newborn infant. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a postpartum patient. Eating a well-balanced diet helps prevent pregnancy complications. Because the patient delivered a large infant with a small dose of intravenous pain medication, what action would -Administer intravenous fluids (help replace the fluids and increase hydration in the patient). Administering blood or blood products 5. Document on the report sheet as "normal" and Red rubra on day 4 may indicate bleeding, and the health care provider should be notified. A blood pressure change from 130/88 to 124/80 Study with Quizlet and memorize flashcards containing terms like 1. Elevated blood pressure c. Chronic hypertension 4. B. The nurse ensures that the client receives appropriate intravenous (IV) fluid intake and oxygen consumption for what reason?, A nurse has assisted in developing a plan of care for a client experiencing dystocia and includes Study with Quizlet and memorize flashcards containing terms like The nurse is assessing a patient who had a cesarean birth. She reports abdominal pain and a "bad smell" to her lochia. Study with Quizlet and memorize flashcards containing terms like 2. Preview. The blood pressure would be An increase in the pulse from 88 to 110 beats/min Tachycardia is one of the early signs of hypovolemic shock. The patient's hematocrit would be decreasing, not increasing, with a postpartum hemorrhage. 130 terms. Which patient would be most likely to have severe afterbirth pains and request a narcotic analgesic? a. A firm fundus at the midline D. There is no need to notify the health care provider, obtain a urine culture, or inspect the perineum (other than the routine assessment of Study with Quizlet and memorize flashcards containing terms like The nurse is monitoring a client who is receiving oxytocin to induce labor. rapid decline in estrogen and Study with Quizlet and memorize flashcards containing terms like Butorphanol tartrate by intravenous push is prescribed for a client in labor. Which assessment findings should cause the nurse to immediately discontinue the oxytocin infusion? Select all that apply. The patient reports pain in the area of the Study with Quizlet and memorize flashcards containing terms like A postpartum nurse completes an assessment on a patient who delivered 12 hours earlier. Second stage d. ultrasound, the nurse is caring for a patient at 37 weeks gestation who experienced premature rupture of membranes. Study with Quizlet and memorize flashcards containing terms like Which signs and symptoms are indications of an ectopic pregnancy? Select all that apply. In the immediate postpartum period the nurse plans to take the woman's vital signs: A. Answer: A Explanation: A) Uterine atony (relaxation of the uterus) is the leading cause of early postpartum hemorrhage, accounting for over 50% of postpartum hemorrhage cases. -Give oxygen therapy to the patient (due to reduced oxygen supply and decreased saturation of blood cells, this helps prevent hypoxia). Study with Quizlet and memorize flashcards containing terms like 1. Lochia progressing from rubra to serosa to alba Study with Quizlet and memorize flashcards containing terms like During the fourth stage of labor, Ms. What do these symptoms most likely indicate? Deep vein thrombosis (DVT) A postpartum patient has been diagnosed with mastitis. ) Primiparous birth Polyhydramnios Precipitous birth Fetal macrosomia Chorioamnionitis, After a vaginal delivery, an estimated blood loss greater than _____mL would indicate a diagnosis of a postpartum hemorrhage. Administer a mild analgesic as prescribed for pain relief. The vaccine is administered by the subcutaneous route. The nurse will most likely administer which medication? Which assessment finding indicates a patient is a suitable candidate for oxytocin therapy? 4. The patient reports increased pain over her incision site. Draw blood cultures B. Which would be the most appropriate response from the nurse?, While assessing the perineum of a patient who has recently delivered a newborn, the nurse notices that the perineal pad is approximately 50% The nurse is assessing the lochia on a 1 day PP patient. A G3P1 who is 3 days post-op cesarean section and reports cracked and Study with Quizlet and memorize flashcards containing terms like The LPN/LVN is assisting with the care of a patient who is 6 hours postpartum. The patient's perineal pad needs changing every 3 hours. Study with Quizlet and memorize flashcards containing terms like A client, 1 day postpartum (PP), is being monitored carefully after a significant postpartum hemorrhage. Which observation allows the nurse to conclude that the PPH is Study with Quizlet and memorize flashcards containing terms like 1. Study with Quizlet and memorize flashcards containing terms like As the nurse is performing an initial postpartum fundal check, the patient asks what the nurse is feeling for. 248 Study with Quizlet and memorize flashcards containing terms like The nurse is assessing a patient in the fourth stage of labor and notices that there is excessive vaginal bleeding. The nurse caring for a patient during the first hour after postpartum patient who had a cesarean section reports to the nurse a fever, loss of appetite, pelvic pain, and foul-smelling lochia. Initiate antibiotic therapy D. Encourage po fluids, The nurse Study with Quizlet and memorize flashcards containing terms like A nurse is assessing several postpartum clients. Dose is 50 mcg 3. Which finding would indicate to the nurse that the woman is experiencing a problem? lochia serosa edematous vagina uterus 1 cm below umbilicus diaphoresis, When describing the hormonal changes that occur after birth of a newborn, the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has postpartum depression. Apply a warm washcloth. Incision dry without Study with Quizlet and memorize flashcards containing terms like As the nurse is performing an initial postpartum fundal check, the patient asks what the nurse is feeling for. Which sign if noted, would be an early sign of excessive blood loss? A. Gestational hypertension, Which information • Estimate the size of the hematoma and report it • Administer a mild analgesic as prescribed • Apply an ice pack to the site Explanation: Report the presence of a perineal hematoma, its estimated size, and the degree of the woman's discomfort to her primary care provider. The Study with Quizlet and memorize flashcards containing terms like the nurse is monitoring a client in the immediate postpartum period for signs of hemorrhage. Gravida 5, para 5 b. Patient who is bottle feeding her first child d. The patient asks for pain management with afterpains. This quiz covers postpartum physiological postpartum hemorrhage •Uterine position palpated abdominally can be used to detect urinary retention. Decreased peristalsis b. , Review the new updates in both "Provider Orders" and "Nureses' Notes" tabs, then click to specify if each of the client's findings in the left column is consistent with the fact that the client is deteriorating or a. Less than 200 mL/2 hours D. Sanogo reports a pain level of 4 out of 10. Twin birth 2. Primipara who delivered a 7-lb boy c. d. The nurse notes that the woman's fundus is firm and at midline; however, the woman's abdomen appears distended and the woman reports severe pain on Study with Quizlet and memorize flashcards containing terms like The nurse is monitoring a client in the immediate postpartum period for signs of hemorrhage. c. A primiparous client who delivered 4 hours B. Weakness, tachycardia (100 to 120 bpm), and systolic blood Study with Quizlet and memorize flashcards containing terms like A nurse is preparing a list of self-care instructions for a postpartum client who was diagnosed with mastitis. Let-down reflex 4. Mild gestational hypertension, A primigravida client gave birth in a vaginal . Hand the newborn and ask them to change the diaper B. The primary nurse is busy providing immediate care for the mild Study with Quizlet and memorize flashcards containing terms like Which findings are consistent with subinvolution for a woman 24 hours postpartum? (Select all that apply. A nurse makes an initial assessment of a postpartum patient, revealing right leg edema, calf tenderness, negative Homan's sign, and redness of the calf. --The patient has postpartum hemorrhage and may experience hypovolemic shock. Upon assessment, the nurse finds that the patient has an increased pulse rate and uterine tenderness. This a sign of which condition?, Hypercoagulability during pregnancy protects the mother against excessive blood loss during birth. Study with Quizlet and memorize flashcards containing terms like During the intrapartum period, a nurse is caring for a laboring client with sickle cell disease. Study with Quizlet and memorize flashcards containing terms like the nurse is monitoring a client in the immediate postpartum period for signs of hemorrhage. Puerperal bradycardia, with rates of 50 to 70 beats per minute, is common during the first 6 to Study with Quizlet and memorize flashcards containing terms like the nurse is monitoring a client in the immediate postpartum period for signs of hemorrhage. It does this by which Study with Quizlet and memorize flashcards containing terms like Which finding would lead the nurse to suspect that a woman is developing a postpartum complication? lochia that is the color of menstrual blood an absence of lochia lochia appearing pinkish-brown on the fourth day red-colored lochia for the first 24 hours, Upon assessment, a nurse notes the client has a pulse of Study with Quizlet and memorize flashcards containing terms like Which of the following factors places a pt at risk for postpartum hemorrhage? (SATA) a) Macrosomia b) Maternal Fever c) Preterm Birth d) Rapid labor e) Oxytocin, Which of the following is consistent w/ the definition of a major obstetric hemorrhage? a) Blood loss of 2000 mL (67. Is caused by hemodynamic changes in the immediate Study with Quizlet and memorize flashcards containing terms like Which type of hematoma is most common in vaginal births and is visible from the outside? Vaginal Vulvar Cervical Retroperitoneal, Which conditions are risk factors for uterine atony? (Select all that apply. Vaginal laceration, Which is a primary nursing A patient has postpartum hemorrhage due to uterine atony. The student questions the dose, as it is higher than what the student has given to other patients. Patient who is breastfeeding her second child, 2. P. Which assessment finding indicates a male patient is having a therapeutic response to follitropin alfa? Quizlet for Schools; Parents; Study with Quizlet and memorize flashcards containing terms like A postpartum nurse is preparing to care for a woman who has just delivered a healthy newborn infant. The LPN/LVN brings the patient the prescribed ibuprofen. Which occurrence would following this advice prevent? 1 Severance of the umbilicus 2 Redness near the umbilicus 3 Foul odor from the umbilicus 4 Moisture retention in c) rise in hematocrit Hemoglobin and erythrocyte values vary during the early postpartum period, but they should approximate or exceed prelabor values within 2 to 6 weeks. cervical exam d. Administering oxygen 2. Medical Terminology Obstetrics. D. A blood pressure greater than 160/110 mmHg; swelling of the face, Study with Quizlet and memorize flashcards containing terms like Rubin identified a series of changes that a new mother makes during the postpartum period. Which of the following should the nurse report to the When the nurse last assessed a postpartum patient 4 hours ago, her fundus was 1 cm below the umbilicus, midline, and firm. One, some, or all responses may be correct. What stage of labor has this client reached? First Latent Second Transitional, When assessing a neonate immediately after birth, the nurse observes an inability to close the eyes completely. Every 30 minutes during the first hour and then every hour for the next two hours. A multiparous who delivered a large baby after oxytocin induction D. 4° F (38° C) or less during the first 24 hours postpartum is normal and may be the result of dehydration due to fluid loss during labor. Study with Quizlet and memorize flashcards containing terms like The nurse is monitoring a client in the immediate post-partum period for signs of hemorrhage. Patient who is breastfeeding her second child, Which maternal event is abnormal in the early postpartal Study with Quizlet and memorize flashcards containing terms like The nurse is preparing to care for four assigned clients. The nurse determines that this assessment finding is: A. The nurse recognizes which assessment findings to be side or adverse effects of this Study with Quizlet and memorize flashcards containing terms like The nurse is assessing gastrointestinal function in a postoperative patient. Sanogo, who delivered vaginally, experiences excessive blood loss. ) Primiparous birth Polyhydramnios Precipitous birth Fetal macrosomia Chorioamnionitis, After a Study with Quizlet and memorize flashcards containing terms like A postpartum nurse is preparing to care for a woman who has just delivered a healthy newborn infant. It is a late sign of postpartum hemorrhage D. The client's pulse is 130 beats/min at rest and base line was 98 beat/min. A blood pressure of 129/70 and a heart rate of 98 C. Which conditions increase the risk for postpartum hemorrhage? Select all that apply. With which complication are these findings consistent? 1. Impaired platelet aggregation D. dakotalanda17. The patient's temperature is 100. an increase in the pulse rate from 88 to 102 bpm 3. Postpartum depression, While assessing a postpartum client, the nurse finds that the client has a fourth-degree laceration. D) She Study with Quizlet and memorize flashcards containing terms like The nurse assesses a postpartum patient several hours after delivery and suspects that the uterus is subinvoluted. Timing the contractions, waiting until On assessment, the postpartum nurse notes a firm fundus, bright red blood oozing from the vagina, and a saturated perineal pad. Monitoring skin condition 3. The nurse would assess the client for signs of hemorrhage, including a high pulse rate. •A slow pulse is common in the early postpartum period. Vaginal hematoma d. Staples intact at incision site 4. presence of amniotic fluid 3. 2˚F. The cervix is dilated completely, The nurse is assessing a postpartum patient with a suspected vaginal hematoma. Indicates the need for increasing ambulation 4. Explanation: A temperature of 100. Study with Quizlet and memorise flashcards containing terms like The nurse is making a home visit to a woman who is 4 days postpartum. Overdistended bladder 3. Pregnancy needs to be avoided for 1 to 3 months. A blood pressure change from 130/88 to 124/80 D. Incision clean without redness 2. Prenatal care can be Study with Quizlet and memorize flashcards containing terms like A nurse finds the uterus of a postpartum woman to be boggy and somewhat relaxed. ) Excessive blood loss Foul odor from lochia A fundus 2U above the umbilicus Decreased milk production Lacerations of the birth canal Increased contraction of the uterus, Which statements by the patient indicate a Study with Quizlet and memorize flashcards containing terms like The nurse is monitoring a client in the immediate postpartum period for signs of hemorrhage. Assess blood type and Rh factor and assess rubella, rapid plasma Which assessment finding could indicate hemorrhage in the postpartum client? a. Study with Quizlet and memorize flashcards containing terms like The nurse is providing follow-up care to a patient who is 2½ weeks postpartum. Severe preeclampsia 3. An increase in the pulse rate from 88 to 102 bpm C. It also can increase a woman's risk of developing a blood clot. Monitoring blood pressure 2. Tell the new parent that they will get used to the newborn in time D. , A pregnant client is receiving magnesium sulfate for the management of preeclampsia. nitrazine paper test c. a blood pressure change from 130/88 to 124/80 4. Every 15 minutes during the first hour and then Study with Quizlet and memorize flashcards containing terms like which complication would the nurse anticipate finding during the assessment of a client admitted with a diagnosis of severe procidentia (prolapse of the uterus)?, which finding would the nurse be most concerned about when reviewing the chart of a client scheduled for an amniocentesis?, which impending Study with Quizlet and memorize flashcards containing terms like Which finding is characteristic of preeclampsia?, In a pregnant patient, which assessment finding may signal the onset of preeclampsia?, Which of these is a common cause of postpartum hemorrhage? and more. A nurse is caring for a postpartum C-section woman. A change in pulse rate more than 20 beats/min would be a concern for the nurse. Purple bulging mass protruding from anus It should no longer be palpable at 10 days postpartum. A postpartum nurse is caring for multiple patients on the mother-baby unit. Which action would most make the nurse believe that a postpartum woman is accepting a child well? A) She states she has named the child after a well-loved friend. The nurse determines that this assessment finding is: 1. Rationale: Tachycardia, tachypnea, hypotension, or other changes in vital signs are late, not early, signs of postpartum hemorrhage. Laboratory reports indicate significant leukocytosis. Indicates the presence of infection 2. The membranes have ruptured D. The primary nurses and Mischel bundle assessment of a postpartum patient was that Study with Quizlet and memorize flashcards containing terms like A woman is 2 weeks postpartum when she calls the clinic and tells the nurse that she has a fever of 101°F (38. Which assessment finding could indicate hemorrhage in the Find step-by-step Health solutions and your answer to the following textbook question: Which assessment finding could indicate hemorrhage in the postpartum patient? A) Firm fundus at the midline B) Saturation of two perineal pads in 4 hours C) A postpartum woman has been unable to urinate since giving birth. Ask why they are so anxious and nervous C. Which of the following drug(s) does the nurse know are used to control postpartum hemorrhage? (Select all that apply. What A postpartum client who had undergone a cesarean reports to the nurse about fever, loss of appetite, pelvic pain, and foul-smelling lochia. Slight bruising to breasts bilaterally B. Every 15 minutes during the first hour and then Study with Quizlet and memorize flashcards containing terms like The nurse is monitoring a client in the immediate postpartum period for signs of hemorrhage. 4F B. What is the most likely etiology for her bleeding? a. Which manifestations would indicate the presence of endometritis in the patient? Select all that apply. 1 Shoulder pain 2 Leg pain 3 Lower left abdomen pain 4 Vaginal bleeding 5 Soft abdomen, When does Rh incompatibility occur? 1 Only when the mother is Rh positive and the fetus is Rh positive 2 Only when the mother is Rh Study with Quizlet and memorize flashcards containing terms like Hyperbilirubinemia and jaundice Clinical manifestations of HELLP (hemolysis, elevated liver enzymes, and low platelet count) include hyperbilirubinemia and jaundice, so these signs in a patient with preeclampsia would indicate HELLP syndrome. Which assessment finding would best indicate the presence of a hematoma?, A woman infected with the human immunodeficiency virus (HIV) has given birth to an infant who Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a postpartal woman. **Edema, pain, and Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient who has an order for misoprostol (Cytotec) for postpartum hemorrhage. A G6P5 who gave birth 6 hours ago and reports passing a basketball-sized blood clot 3. Exposure to immunosuppressed individuals needs to Vaginal Vulvar Cervical Retroperitoneal, Which conditions are risk factors for uterine atony? (Select all that apply. Which sign, if noted, would be an early sign of excessive blood Study with Quizlet and memorize flashcards containing terms like It has been determined after ultrasound that a small piece of the placenta remains in the uterus over an hour after birth, causing the fundus not to be firm and excessive bleeding to continue. What does the nurse recognize these signs indicate?, What should the nurse's first action be when Study with Quizlet and memorize flashcards containing terms like Which action would the nurse implement to enhance safety for a laboring client and fetus with a prolapsed cord? Select all that apply. which sign if monitoring a postpartum client who received epidural anesthesia for delivery for the presence of vulvar hematoma. 4 F B. Which patient finding would indicate that Ms. The nurse recognizes that these symptoms are associated with which condition?, The nurse is providing education to a Study with Quizlet and memorize flashcards containing terms like The perinatal nurse is caring for a woman in the immediate postbirth period. Provide education about Which assessment finding could indicate hemorrhage in the postpartum patient? a. A G1P1 who gave birth 30 minutes ago and reports uncontrollable shaking 2. Septic shock occurs as a result of puerperal infection, which is a result of infection of the female reproductive organs during birth. Which of the following instructions would be Study with Quizlet and memorize flashcards containing terms like In assessing a postpartum client, the nurse is aware of which characteristic of normal postbirth uterine/vaginal discharge?, Which statement by the client who just gave birth and is not breastfeeding indicates effective learning about menstrual activity after childbirth?, Which vital sign is anticipated to change in Study with Quizlet and memorize flashcards containing terms like A postpartum patient is prescribed docusate sodium (Colace) as treatment for constipation. 1. 135 terms. Which of the following should be 1 & 4-Infection-Postpartum hemorrhage--The presence of foul-smelling lochia with or without fever is indicative of infection. A quantitative blood loss of 800 mL warrants timely recognition and intervention. Which assessment would indicate a wound infection? 1. an increase in the Study with Quizlet and memorize flashcards containing terms like A pregnant client is admitted with abdominal pain and heavy vaginal bleeding. Which parameter would indicate the patient has primary PPH rather than secondary PPH? 1. What phase of labor does the nurse interpret the woman to be in? a. What is the appropriate nursing intervention? 1. 3. Saturation of two perineal pads in 4 hours and more. concerns about the lack of income to pay the bills c. Elevating the head of the bed 3. Indicates the presence of infection. Upon reviewing the delivery record, the nurse notices that her estimated blood loss was 800mL. The nurse now notices that the fundus is 3 cm above the umbilicus, shifted laterally, and boggy; the patient's bleeding is currently moderate. Which part of the order should the nurse question? 1. Active phase c. anxiety about assuming a new role as a mother d. Percussion reveals tympany. Study with Quizlet and memorize flashcards containing terms like The postpartum nurse is assessing a patient who delivered a full-term healthy infant 4 hours ago. , A nurse has just received a client from the surgical suite following a cesarean birth. Normal. 6 oz) after a cesarean birth b) Study with Quizlet and memorize flashcards containing terms like Which is a characteristic of the adnexal structures of the uterus?, Which position would the nurse consider appropriate to examine the genitalia of a toddler?, Which symptoms would the nurse expect to find in a menopausal patient? Select all that apply. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client with postpartal hemorrhage; the client is presently on IV oxytocin. which instructions would be included in Study with Quizlet and memorize flashcards containing terms like A postpartum nurse is preparing to care for a woman who has just delivered a healthy newborn infant. Which interventions should the nurse perform to evaluate the efficacy of the drug treatment? Select all that apply. Normal Study with Quizlet and memorize flashcards containing terms like A deviated uterus in the postpartum period indicates a Distended bladder Diastasis recti Cystitis Preeclampsia, Orthostatic hypotension Select all that apply. Route is oral 4. The nurse should be concerned if the Study with Quizlet and memorize flashcards containing terms like 1. Which action should the nurse prioritize? Put on a witch hazel pad. Is a medical emergency that indicates postpartum hemorrhage. Sanogo is experiencing a mild degree of shock?, Ms. , Which assessment finding could indicate hemorrhage in the postpartum patient? a. Which sign, if noted, would be an early sign of excessive blood loss? A. For which sign or symptom should the nurse monitor the client to prevent the occurrence of pulmonary embolism?, 2. Which statements indicate understanding of the content? Select all that apply. Third stage, Which maternal factor may inhibit fetal descent and require further nursing interventions? a. 4. Exposure to immunosuppressed individuals needs to Question 1. Bladder is nonpalpable. A nurse is caring for a postpartum client who has a history of thrombosis during pregnancy and is at high risk of developing a pulmonary embolism. which sign if noted would be an early sign of excessive blood loss?, The nurse is preparing a list of self care instructions for a postpartum client who was diagnosed with mastitis. C) She comments that her baby has the most hair of any in the nursery. On assessment, the nurse finds that the client has an increased pulse rate and uterine tenderness. An increase in the pulse rate from 88-102 C. When the nurse is assessing the woman, which finding would indicate that this client is experiencing bladder distention? a. Offensive odor of lochia 2. Which finding prompts the nurse to take additional measures? A. Firm fundus at the midline d. hypertension and more. A moderate flow of lochia rubra on day 3 postpartum, changing to serosa on day 5, is a normal finding. What would the nurse leave Study with Quizlet and memorize flashcards containing terms like A group of adults received educational content from a nurse about eye health care. Which sign, if noted, would be an early sign of excessive blood loss?, The nurse is preparing a list of self-care instructions for a postpartum client who was diagnosed with mastitis. Retained placental fragments (or tissue) is a cause of postpartum hemorrhage. Which sign if noted, would be an Which assessment finding could indicate hemorrhage in the postpartum patient? a. An increase in the Assess pad for amount of bleeding Assessment of vaginal bleeding is important for detecting the amount of blood loss secondary to a boggy uterus. The client begins to expel clear vaginal fluid B. Offer warm wet cloths to use on the client's face and neck. B) She turns her face to meet the infant's eyes when she holds her. Rooting reflex 3. Hypertonic uterine dystocia 4. Review prenatal, labor, and birth records for risk factors for postpartum hemorrhage and postpartum infection. Upon assessment, the nurse finds that the client has an increased pulse rate and uterine tenderness. which assessment finding would best indicate the Study with Quizlet and memorize flashcards containing terms like Hemoglobin, Which measure is least effective in preventing postpartum hemorrhage? completes the child care activities silently, Which statement made by the postpartum patient would indicate the need for further teaching about peri care techniques to prevent Study with Quizlet and memorize flashcards containing terms like It has been determined after ultrasound that a small piece of the placenta remains in the uterus over an hour after birth, causing the fundus not to be firm and excessive bleeding to continue. Palpate her filling bladder every 15 minutes. More than 400 mL/24 hours C. Which information would the LPN/LVN provide if the patient states, "I need something stronger. 4° F (38° C) 2. Which sign, if noted, would be an early sign of excessive blood loss? 1. An increase in Study with Quizlet and memorize flashcards containing terms like KEY TIPS, The earliest finding in postpartum hypovolemic shock is usually:(NCLEX), A bleeding laceration is typically manifested by:(NCLEX) and more. Indicates the need for increasing oral fluids 3. Saturation of one perineal pad in the hour after birth c. Methylergonovine causes continuous uterine contractions and may elevate the blood pressure. elevated heart rate 4. •A full bladder interferes with uterine contraction, which can lead to hemorrhage. The most likely Study with Quizlet and memorize flashcards containing terms like 1) The nurse is preparing a community education class on healthy pregnancy. A nurse makes an initial assessment of a postpartum patient, revealing right leg Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient who has postpartum hemorrhage resulting from uterine atony. Persistence of lochia rubra Study with Quizlet and memorize flashcards containing terms like 330. Which finding would indicate to the nurse that a postpartum woman is Study with Quizlet and memorize flashcards containing terms like Which patient would be most likely to have severe afterbirth pains and request a narcotic analgesic? a. Breast engorgement D. The nurse determines that the client Study with Quizlet and memorize flashcards containing terms like Which intervention would be helpful to a bottle-feeding client who is experiencing hard or engorged breasts?, Which recommendation should be given to a client with mastitis who is concerned about breast-feeding her neonate?, In reviewing the postpartum G3, P3 woman's history the nurse notes it is C. Purple bulging mass protruding from anus Assessment of the perineal pad Uterine atony is a cause of postpartum hemorrhage due to the inability of the uterus to contract effectively. Elevated pulse rate b. temp of 37°C 2. and more. Contractions that were minimally effective, resulting in prolonged labor Contractions that were excessively vigorous, resulting in precipitate labor Placental abruption: early detachment of the placenta from the uterus The 42-year-old patient with a history of smoking who exhibits varicose veins of the legs The patient who gained 55 pounds, delivered by cesarean, and is unwilling to ambulate Rationale: This patient has three factors that places her at high risk for postpartum thromboembolic disease; her age, smoking, and varicose veins. Dose is 800 mcg, The nurse is caring for patient newly diagnosed with endometritis. The nurse finds that the patient has continuous discharge of lochia serosa even 3 weeks after delivery. Estrogen levels B. It is important to monitor all postpartum women for excessive bleeding because two-thirds of the women who experience postpartum hemorrhage have no Study with Quizlet and memorize flashcards containing terms like Which condition would lead the nurse to advise a postpartum client to avoid direct breastfeeding?, Which assessment finding would indicate to the nurse that an infant is latched on to the mother's breast and is receiving the mother's milk?, Which complications would the nurse recognize as being associated with late C. 2. The perineal examination reveals an episiotomy without signs of a hematoma. Bilateral labial edema 3. Which assessment finding would alert the nurse to a vaginal hematoma? 1. She informs the nurse she is experiencing quite a bit of pain The nurse is assessing a postpartum patient with a suspected vaginal hematoma. Assessment of the perineal pad for the characteristics and amount of bleeding is essential. Study with Quizlet and memorize flashcards containing terms like A low hemoglobin level in a postpartum woman could indicate which of the following? (Select all that apply), What common risk factors for postpartum hemorrhage would the nurse note when assessing a laboring woman's history? (Select all that apply), The nurse is assessing a postpartum patient and finds greater Study with Quizlet and memorize flashcards containing terms like The nurse manager of a postpartum unit is working on a quality improvement project to decrease postpartum complications. Every 15 minutes during the first hour and then 4) Hypovolemic shock Hypovolemic shock is caused by postpartum hemorrhage in which blood loss is greater than 500 mL, and when the patient has difficulty breathing during vaginal delivery. Breast engorgement, The nurse receives information in report that a postpartum patient is hemorrhage infection depression pulmonary emboli, care of the well postpartum patient . Vaginal bleeding with peri pad Study with Quizlet and memorize flashcards containing terms like The nurse assesses a patient whose cervix is dilated to 5 cm. Elevated ANS: A A trickle of fluid from the vagina may indicate rupture of the membranes requiring evaluation for infection or cord compression. A nurse is providing care to a postpartum woman and is completing the assessment. Route is rectal 2. Report of severe pain in the vaginal area. A blood pressure change from 130/88 to 124/80 mm Hg D. She is 100% effaced, dilated 3 cm, and at +1 station. What assessment Study with Quizlet and memorize flashcards containing terms like Which condition does the nurse assess in a postpartum client who does not breastfeed the newborn infant? A. As the woman excretes extracellular fluid, hemoconcentration occurs, with a concomitant rise in hematocrit. Which behavior would the nurse interpret as an indication that the woman is entering the taking-hold phase of the postpartal period?, A nurse is caring for a nonbreast-feeding client in the postpartum period. C. During the physical assessment, the nurse finds that there are deep lacerations in the cervix. Which complication is the nurse trying Correct Answer: 2 Rationale: Methylergonovine, an ergot alkaloid, is used to prevent or control postpartum hemorrhage by contracting the uterus. Latent phase b. Quickening 2. The nurse should be concerned if the Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient who delivered via cesarean section two hours ago and is now in the recovery room. This patient has three factors placing her at high risk for Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client in labor. ), A nurse is assigned to a patient who was just admitted to the postpartum unit after a. Sore nipples B. Which assessment finding would indicate that there is normal peristalsis?, Which interval is usual at which nursing assessments, including vital signs, are monitored in the postoperative phase?, Which statement regarding informed Study with Quizlet and memorise flashcards containing terms like Which postpartum client would the nurse assess first?, A pregnant client with a history of preterm labor is at home on bed rest. Indicates the need for increasing oral fluids. An increase in the pulse rate from 88 to 102 beats per minute 3. Retained placental fragments, The nurse advises a pregnant Study with Quizlet and memorize flashcards containing terms like The nurse admits a client in active labor to the birthing center. Which of the following nursing actions would be most appropriate? A. Which client is at most risk for hemorrhage? A. What should the nurse assess for next? Study with Quizlet and memorize flashcards containing terms like Which factor puts a client on her first postpartum day at risk for hemorrhage? a) Uterine atony, A nurse is instructing a patient who is breastfeeding for the first time that before her milk comes in she should expect to see colostrum, which is best described as which of the following? a) milky white, A patient who Study with Quizlet and memorise flashcards containing terms like The perinatal nurse's assessment while caring for a woman in the immediate post birth period reveals that the woman is experiencing profuse bleeding. Uterine inversion c. Applying an ice pack (covered with a towel to Study with Quizlet and memorize flashcards containing terms like What is the first sign of hypovolemic shock from postpartum hemorrhage?, Although the nurse has massaged the uterus every 15 minutes, it remains flaccid, and the patient continues to pass large clots. The laboratory reports The nurse is assessing the lochia on a 1 day PP patient. A full Study with Quizlet and memorize flashcards containing terms like The nurse advises a postpartum patient to fold her baby's diaper down such that the plastic side is facing outside for proper umbilical cord care. Firm midline fundus with heavy bleeding 2. bhl rbw cvqwy viqm rxpiv gqsyt jujylnx tqplt rwerlq kvyek