A nurse is performing a fundal assessment for a client who is 2 days post party and observes the perineal pad for lochia. She notes the pad to be
... [Show More] saturated approx 12 cm with lochia that is bright red and contains small clots. Which of the following findings should the nurse document? - correct answer Moderate lochia rubra
During ambulation to the bathroom, a postpartum client experiences a gush of dark red blood that soon stops. On assessment, a RN finds the clients uterus to be firm and midline & at the level of the umbilicus. The nurse interprets this finding as - correct answer a normal postural discharge of lochia
a nurse is completing postpartum discharge teaching to a client who had no immunity to varicella and was given varicella vaccine. Which of the following indicates understanding? - correct answer "I need a second vaccination at my postpartum visit."
A nurse is assessing a postpartum client for fundal height, location, and consistency. The funds is noted to be displaced laterally to the right, and there is uterine atony. the nurse should identify which of the following conditions as the cause of uterine atony? - correct answer urinary retention
A nurse is caring for a client who is 1 hr postpartum following a vaginal birth and experiencing uncontrollable shaking. The nurse should understand that the shaking is due to which of the following? - correct answer -change in body fluids
-metabolic effort of labor
A nurse concludes that the father of an infant is not showing positive signs of parent-infant bonding. He appears very anxious and nervous when the infant's mother asks him to bring her the infant. Which of the following actions should the nurse use to promote father-infant bonding? - correct answer Provide education about infant care when the father is present.
A client in the early postpartum period is very excited and talkative. She is repeatedly telling the nurse every detail of her labor and birth. Because the client will not stop talking, the nurse is having difficulty completing the postpartum assessments. Which of the following actions should the nurse take? - correct answer Give the client time to express her feelings. [Show Less]