Exam (elaborations)
Postpartum Physiological Adaptations Detailed Questions And Expert Answers
- Institution
- University Of California - San Francisco
Postpartum Physiological Adaptations Detailed Questions And Expert Answers
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Postpartum Physiological Adaptations DetailedQuestions And Expert Answers
A nurse is performing a fundal assessment for a client who is 2 days postpartum
and observes the perineal pad for lochia. She notes the pad to be saturated
approx. 12 cm with lochia that is bright red and contains small clots. Which of the
following findings should the nurse document?
A. Moderate lochia rubra
B. Excessive blood loss
C. Light lochia rubra
D. Scant lochia - ANS A. Moderate lochia rubra
The client has moderate lochia rubra containing small clots, which is an expected
finding for the second day postpartum.
During ambulation to the bathroom, a postpartum client experiences a gush of
dark red blood that soon stops. On assessment, a nurse finds the uterus to be firm,
midline, and at the level of umbilicus. Which of the following findings should the
nurse interpret this data as being?
A. Evidence of a possible vaginal hematoma
B. An indication of a cervical or perineal laceration
C. A normal postural discharge of lochia
, D. Abnormally excessive lochia rubra flow - ANS C. A normal postural discharge of
lochia
- Lochia typically trickles from the vaginal opening but flows more steadily during
uterine contractions. Massaging the uterus or ambulation can result in a gush of
lochia with the expression of clots and dark blood that has been pooled in the
vagina, but it should soon decrease back to a trickle of bright red lochia in the early
puerperium.
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
statements by the client indicates understanding of the teaching?
A. "I will need to use contraception for 3 months before considering pregnancy."
B. "I need a second vaccination at my postpartum visit."
C."I was given the vaccine because my baby is O-positive."
D. "I will be tested in 3 months to see if I have developed immunity." - ANS B. "I
need a second vaccination at my postpartum visit."
A second varicella immunization is needed at 4-8 weeks following delivery by
clients who had no history of immunity.
A nurse is assessing a postpartum client for fundal height, location, and
consistency. The fundus 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 the uterine atony?
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