What does the nurse explain is the usual treatment for subinvolution?
- A. Uterine massage
- B. Oxytocin infusion
- C. Dilation and curettage
- D. Hysterectomy
Correct Answer: C
Rationale: Medical treatment for subinvolution involves dilation of the cervix and curettage to remove retained placental fragments from the uterine wall.
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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 is the best response to a postpartum woman who tells the nurse she feels 'tired and sick all of the time since I had the baby 3 months ago'?
- A. This is a normal response for the body after pregnancy. Try to get more rest.'
- B. I'll bet you will snap out of this funk real soon.'
- C. Why don't you arrange for a babysitter so you and your husband can have a night out?'
- D. Let's talk about this further. I am concerned about how you are feeling.'
Correct Answer: D
Rationale: If a postpartum woman seems depressed, it is important to explore her feelings to determine if they are persistent and pervasive.
What should the nurse's next assessment be?
- A. Fullness of the bladder
- B. Amount of lochia
- C. Blood pressure
- D. Level of pain
Correct Answer: A
Rationale: Bladder distention can cause uterine atony. The uterus is massaged to firmness and then the bladder is emptied.
Which statement indicates to the nurse that the patient understands the signs of late postpartum hemorrhage?
- A. My discharge would change to red after it has been pink or white.'
- B. If I have a postpartum hemorrhage, I will have severe abdominal pain.'
- C. I should be alert for an increase in bright red blood.'
- D. I would pass a large clot that was retained from the placenta.'
Correct Answer: A
Rationale: A return to red bleeding after lochia has changed to pink or white may indicate a late postpartum hemorrhage.
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.
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