Care of Healthy or At Risk Mother and Child Quiz 5

The physician assigned a postpartum nurse to monitor the postpartum client in the fourth stage of labor. Which of the following findings the nurse will not that would indicate a complications related to a laceration of the birth canal?

The client is recovering in the postpartum unit from a cesarean delivery. The nurse is aware that the client is at risk of thrombophlebitis. In preparing a plan of care, the nurse would give priority in preventing thrombophlebitis and the nurse would encourage the woman to:

The post partum client is suffering from deep venous thrombophlebitis. The nurse would anticipate that the client’s response to treatment will be evaluated by regularly assessing the client for:

The nurse is caring for a post partum client with femoral thrombophlebitis. On further assessment, the nurse found out that the client has developed a pulmonary embolism. The nurse is aware that the immediate nursing action would be:

A nurse is completing the assessment to a client who is 4 hours postpartum. Following assessment, the nurse notes that the client has cool, clammy skin and observed that the client is also restless and excessively thirsty. The nurse prepares immediately to:

The nurse checks the fundus of the client who is in the fourth stage of labor. The nurse notes that the fundus is firm and bleeding is excessive. The first nursing action of the nurse would be which of the following?

The client visits the clinic after 2 weeks of giving birth to a healthy newborn infant. The client is complaining that she feels as though she has the flu and complains of fatigue and aching muscles. On further assessment of the clinic nurse, the nurse found out a localized area of redness on the left breast and the mother was diagnosed with mastitis. The mother wishes to know about the condition. The most appropriate nursing response to the client is which of the following?

The nurse is providing an instruction to a new mother who is breast-feeding her newborn infant about measures to prevent postpartum mastitis before the mother is discharge. The nurse wants to assess if the instruction is clear. Which of the following if stated by the mother would indicate a need for further instructions?

The home care nurse is assigned to follow up the client who delivered a healthy newborn infant via normal delivery. An episiotomy was performed, and the client has developed a wound infection at the episiotomy site. The nurse is conducting a health teaching to the mother regarding care related to the infection. Which of the following statement if made by the client would indicate a need for further teaching?

A post partum client with a diagnosis of deep vein thrombosis is receiving a continuous intravenous infusion of heparin sodium. The nurse reviews the laboratory results and wants to know if the client is given an appropriate dose of heparin. Which of the following laboratory results the nurse would check to determine if an effective dose of the heparin is being delivered?