Nokea
A client is 3 days post-cesarean delivery for eclampsia. The client is receiving hydralazine (Apresoline) 10 mg 4 times a day by mouth. Which of the following findings would indicate that the medication is effective?
- A. The client has had no seizures since delivery.
- B. The client's blood pressure has dropped from 160/120 to 130/90.
- C. The client's postoperative weight has dropped from 154 to 144 lb.
- D. The client states that her headache is gone.
Correct Answer: B
Rationale: Hydralazine lowers blood pressure.
You may also like to solve these questions
A breastfeeding woman calls the pediatric nurse with the following complaint:"I woke up this morning with a terrible cold. I don't want my baby to get sick. Which kind of formula should I have my husband feed the baby until I get better?" Which of the following replies by the nurse is appropriate at this time?
- A. Any formula brand is satisfactory, but it is essential that it be mixed with water that has been boiled for at least 5 minutes.
- B. Don't forget to pump your breasts every 3 hours while the baby is being fed the prescribed formula.
- C. The best way to keep your baby from getting sick is for you to keep breastfeeding him rather than switching him to formula.
- D. In addition to giving the baby formula, you should wear a surgical face mask when you are around him.
Correct Answer: C
Rationale: Breastfeeding provides antibodies to protect the baby.
The nurse assesses for signs of depression or postpartum blues. How can the nurse explain the difference?
- A. PPD is less severe and resolves in a few weeks.
- B. Postpartum blues can last up to a year.
- C. PPD is a normal expectation of postpartum.
- D. Postpartum blues symptoms include irritability and sadness.
Correct Answer: D
Rationale: The correct answer is D because postpartum blues typically involve symptoms like irritability and sadness, which are common and usually resolve within a few weeks. This is different from postpartum depression (PPD), which is more severe and may last longer. A is incorrect because PPD is typically more severe than postpartum blues. B is incorrect because postpartum blues usually resolve within a few weeks, not up to a year. C is incorrect because PPD is not considered a normal expectation of postpartum, as it requires intervention and treatment.
Which maternal event is abnormal in the early postpartal period?
- A. Diuresis and diaphoresis
- B. Flatulence and constipatiNon R I G
- C. Extreme hunger and thirst
- D. Lochial color changes from rubra to alba
Correct Answer: D
Rationale: The correct answer is D because the normal progression of lochia after childbirth is from rubra (red) to serosa (pinkish-brown) to alba (yellow-white). This signifies the normal healing process of the uterus. Choices A, B, and C are all normal postpartum events. Diuresis and diaphoresis help eliminate excess fluid from pregnancy, flatulence and constipation can occur due to hormonal changes and decreased muscle tone, and extreme hunger and thirst are common as the body recovers from childbirth.
Which clinical finding should the nurse suspect if the fundus is palpated on the right side of the abdomen above the expected level?
- A. Distended bladder
- B. Normal involution
- C. Been lying on her right side too long
- D. Stretched ligaments that are unable to support the uterus
Correct Answer: A
Rationale: The correct answer is A, a distended bladder. When the fundus is palpated on the right side above the expected level, it indicates that the bladder is full and pushing the uterus upward and to the right. This can interfere with the normal descent of the uterus during involution, leading to the fundus being higher than expected.
Choice B, normal involution, is incorrect as it does not explain the fundus being palpated above the expected level.
Choice C, lying on her right side too long, is incorrect as body position does not typically result in the fundus being displaced.
Choice D, stretched ligaments that are unable to support the uterus, is incorrect as stretched ligaments would not cause the fundus to be palpated above the expected level; rather, it would lead to a lower position of the uterus.
A breastfeeding woman, 6 weeks postdelivery, must go into the hospital for a hemorrhoidectomy. Which of the following is the best intervention regarding infant feeding?
- A. Have the woman wean the baby to formula.
- B. Have the baby stay in the hospital room with the mother.
- C. Have the woman pump and dump her milk for two weeks.
- D. Have the baby bottle fed milk that the mother has stored.
Correct Answer: D
Rationale: Stored milk ensures continued breastfeeding.