Nokea
What complication should the nurse be alert for in the immediate postpartum period?
- A. Cervical laceration
- B. Hematoma
- C. Endometritis
- D. Retained placental fragments
Correct Answer: B
Rationale: Delivering a large infant and a prolonged labor are risk factors for hematoma formation.
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What does the nurse suspect from these symptoms?
- A. Phlebitis
- B. Puerperal infection
- C. Late postpartum hemorrhage
- D. Mastitis
Correct Answer: A
Rationale: The complaints related to the leg, such as redness and pain, are indicative of phlebitis. The other signs are normal in the postpartum patient.
What is the most likely cause?
- A. Pulmonary embolism
- B. Hypertension
- C. Allergy
- D. Blood clotting disorder
Correct Answer: C
Rationale: Anaphylactic shock is caused by allergic responses to drugs administered.
What will the nurse anticipate might be ordered by the physician?
- A. Ritodrine
- B. Magnesium sulfate
- C. Oxytocin
- D. Bromocriptine
Correct Answer: C
Rationale: Oxytocin (Pitocin) is the most common drug ordered to control uterine atony.
What will the nurse instruct this woman is the antidote for warfarin overdose?
- A. Vitamin A
- B. Vitamin B
- C. Vitamin E
- D. Vitamin K
Correct Answer: D
Rationale: The antidote for warfarin overdose is vitamin K.
What action should the nurse implement based on these symptoms?
- A. Notify the charge nurse of a possible upper respiratory infection.
- B. Notify the physician of a possible pulmonary embolism.
- C. Document expected postpartum mucous membrane congestion.
- D. Medicate with antipyretic remedy for elevated temperature.
Correct Answer: B
Rationale: Symptoms of early pulmonary embolism may include cough, shortness of breath, and temperature elevation, requiring immediate notification of the physician.