Podcast
Questions and Answers
In caring for a postpartum client with petechiae and oozing from her IV site, the nurse should closely monitor for which clotting disorder?
In caring for a postpartum client with petechiae and oozing from her IV site, the nurse should closely monitor for which clotting disorder?
- Hemorrhage
- Disseminated intravascular coagulation (correct)
- Amniotic fluid embolism
- HELLP syndrome
What is a common laboratory marker indicative of disseminated intravascular coagulation (DIC)?
What is a common laboratory marker indicative of disseminated intravascular coagulation (DIC)?
- Presence of fibrin split products (correct)
- Bleeding time of 10 minutes
- Hyperfibrinogenemia
- Thrombocytopenia
What is traditionally classified as early or late postpartum hemorrhage?
What is traditionally classified as early or late postpartum hemorrhage?
- PPH is easy to recognize early; after all, the woman is bleeding
- Nurses and doctors tend to overestimate blood loss
- More than 1000 ml of blood loss after vaginal birth defines PPH
- PPH has classifications based on birth method (correct)
What should nurses anticipate as the first step in caring for a woman with disseminated intravascular coagulation (DIC)?
What should nurses anticipate as the first step in caring for a woman with disseminated intravascular coagulation (DIC)?
What is the initial intervention to manage postpartum hemorrhage when a woman presents with lacerations of the genital tract?
What is the initial intervention to manage postpartum hemorrhage when a woman presents with lacerations of the genital tract?
What nursing action should be implemented when caring for an immediate postpartum client experiencing petechiae and oozing from an IV site?
What nursing action should be implemented when caring for an immediate postpartum client experiencing petechiae and oozing from an IV site?
What is the priority nursing action for a client undergoing induction of labor at 41 weeks gestation with moderate contractions every 2-3 minutes and a baseline fetal heart rate of 120-122?
What is the priority nursing action for a client undergoing induction of labor at 41 weeks gestation with moderate contractions every 2-3 minutes and a baseline fetal heart rate of 120-122?
What assessment finding should a nurse expect to note in a pregnant client with suspected abruptio placentae in the second trimester?
What assessment finding should a nurse expect to note in a pregnant client with suspected abruptio placentae in the second trimester?
If a pregnant client in the third trimester is suspected to have placenta previa and is experiencing vaginal bleeding, which prescription should the nurse question?
If a pregnant client in the third trimester is suspected to have placenta previa and is experiencing vaginal bleeding, which prescription should the nurse question?
During an ultrasound on a client at term gestation with moderate vaginal bleeding, what should be considered if the client has placenta previa?
During an ultrasound on a client at term gestation with moderate vaginal bleeding, what should be considered if the client has placenta previa?
If a pregnant client experiences contractions every 2-3 minutes lasting 60 seconds, what intervention could help determine uterine activity?
If a pregnant client experiences contractions every 2-3 minutes lasting 60 seconds, what intervention could help determine uterine activity?
What is an important nursing action when caring for a pregnant client with an internal fetal heart rate monitor in place?
What is an important nursing action when caring for a pregnant client with an internal fetal heart rate monitor in place?
What advice does the nurse give to the client based on the assessment of the client's complaints?
What advice does the nurse give to the client based on the assessment of the client's complaints?
Which statement by a postpartal woman indicates a need for further teaching regarding thrombus formation?
Which statement by a postpartal woman indicates a need for further teaching regarding thrombus formation?
What is a measure for preventing late postpartum hemorrhage?
What is a measure for preventing late postpartum hemorrhage?
Which condition is a transient, self-limiting mood disorder that affects new mothers after childbirth?
Which condition is a transient, self-limiting mood disorder that affects new mothers after childbirth?
What should the nurse do if a multiparous woman's fundus remains difficult to find and lochia is heavy after childbirth?
What should the nurse do if a multiparous woman's fundus remains difficult to find and lochia is heavy after childbirth?
In which scenario is it appropriate for a woman to use only the unaffected breast for breastfeeding?
In which scenario is it appropriate for a woman to use only the unaffected breast for breastfeeding?
What should a nurse suspect when a woman who has recently given birth complains of pain and tenderness in her leg, with warmth and redness over an enlarged, hardened area?
What should a nurse suspect when a woman who has recently given birth complains of pain and tenderness in her leg, with warmth and redness over an enlarged, hardened area?
Which conditions are considered medical emergencies that require immediate treatment in postpartum hemorrhage?
Which conditions are considered medical emergencies that require immediate treatment in postpartum hemorrhage?
What infection is most commonly contracted by first-time mothers who are breastfeeding?
What infection is most commonly contracted by first-time mothers who are breastfeeding?
In abnormal adherence of the placenta, what happens when the zygote implants in an area of defective endometrium?
In abnormal adherence of the placenta, what happens when the zygote implants in an area of defective endometrium?
How can a diagnosis of thrombophlebitis in a postpartum patient be confirmed?
How can a diagnosis of thrombophlebitis in a postpartum patient be confirmed?
What is the appropriate action when a nurse notices retained placenta in a postpartum woman?
What is the appropriate action when a nurse notices retained placenta in a postpartum woman?
What should the nurse prepare the client for based on the ultrasound results indicating abruptio placentae?
What should the nurse prepare the client for based on the ultrasound results indicating abruptio placentae?
Which assessment finding indicates that a client is at risk for preterm labor?
Which assessment finding indicates that a client is at risk for preterm labor?
What type of labor dystocia is the client experiencing if contractions are short, irregular, and weak?
What type of labor dystocia is the client experiencing if contractions are short, irregular, and weak?
After a precipitous delivery, what should the nurse do to help the new mother process the delivery?
After a precipitous delivery, what should the nurse do to help the new mother process the delivery?
In a client with abruptio placentae, what is not an anticipated prescription based on ultrasound findings?
In a client with abruptio placentae, what is not an anticipated prescription based on ultrasound findings?
Which client characteristic does not indicate a risk for preterm labor?
Which client characteristic does not indicate a risk for preterm labor?
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