1. A nurse is caring for a client who has uterine atony and is
experiencing postpartum hemorrhage. Which of the following
actions is the nurse’s
... [Show More] priority?
Massage the client’s fundus
Uterine atony and postpartum hmorrhage indicate that this
client is at the greatest risk for hypovolemic shock. This
can compromise the client’s vital organs, which can lead to
death. Therefore, the nurse’s priority is to massage the
client’s fundus to minimize blood loss.
2. A nurse is caring for a client who is to receive oxytocin to
augment her labor. Which of the following findings
contraindicates the initiation of the oxytocin infusion and should
be reported to the provider?
Late decelerations
Late decelerations are indicative of uteroplacental
insufficiency. Therefore, this is a contraindication for the
administration of oxytocin and should be reported to the
provider.
3. A nurse is assessing a client who has severe preeclampsia. Which
of the following manifestations should the nurse expect?
Blurred vision
The nurse should identify that a client who has severe
preeclampsia can have arteriolar vasospasms and
decreased blood flow to the retina which can lead to visual
disturbances, such as blurred vision, double vision, or dark
spots in the visual field.
4. A nurse is assessing a client who is 1 day-postpartum and has a
vaginal hematoma. Which of the following manifestation should
the nurse expect?
Vaginal pressure
The nurse should expect a client who has a vaginal
hematoma to report pressure in the vagina due to the
blood that leaked into the tissues.
5. A nurse is caring for a client who is at 36 weeks of gestation and
has a positive contraction stress test. The nurse should plan to
prepare the client for which of the following diagnostic tests?
Biophysical profile
A positive contraction stress test indicates that further
evaluation of the fetus is necessary. A biophysical profile
will provide further evaluation with a real-time ultrasound... [Show Less]