Care of Healthy or At Risk Mother and Child Quiz 4

 A client who has received an epidural anesthesia is assigned is transferred to a postpartum unit and a nurse is assigned to monitor for the presence of vulvar hematoma of the client. Which finding would best indicate the presence of hematoma?

The nurse is assigned to care for a postpartum client with a small vulvar hematoma. In developing a plan of care, the nurse includes which specific interventions in the plan during the first 12 hours after giving birth to a healthy newborn infant?

The client received epidural anesthesia during labor and had a forceps delivery after pushing for 2 hours. At 6 hours postpartum, her Blood pressure decreased 20 points in systolic BP and 10 points in diastolic BP, her pulse is 120 beats per minute and the client appears to be anxious and restless. On further assessment, a vulvar hematoma is verified. After notifying the physician, the nurse immediately plans to:

Following surgical evacuation and repair of a paravaginal hematoma, the mother is discharged 4 days postpartum. A nurse is aware that the new mother needs further discharge instructions when she states that:

A nurse is caring for a post partum client and monitoring for signs of bleeding. Which of the following signs, if noted in the mother, would be an early sign of excessive blood loss?

A nurse is assessing the uterine fundus of a client in the immediate postpartum period. When the nurse feels the fundus of the client, she notes that the uterus feels soft and boggy. Which of the following nursing interventions would be most appropriate initially?

A postpartum nurse is assessing a client who gave birth to a healthy newborn infant by cesarean section. The nurse is monitoring the client for sign and symptoms of superficial venous thrombosis. Which of the following signs of symptoms would the nurse note if superficial venous thrombosis were present?

A nurse is caring for a postpartum client who was diagnosed with superficial venous thrombosis. In preparing a plan of care, which of the following interventions would be a component of the plan of care?

A client in a postpartum unit tells the nurse in charge that she feels sudden sharp chest pain. The nurse notes that the client is tachycardic and the respiratory rate is increasing. The nurse suspects a pulmonary embolism. The initial nursing action would be which of the following.

A nurse is teaching a mother who has been diagnosed with mastitis. Which of the following statements if made by the client indicates a need for further teaching?