Nokea
What is the first sign of hypovolemic shock from postpartum hemorrhage?
- A. Cold, clammy skin
- B. Tachycardia
- C. Hypotension
- D. Decreased urinary output
Correct Answer: B
Rationale: Tachycardia is usually the first sign of inadequate blood volume.
You may also like to solve these questions
What does the nurse recognize as the cause of this woman's symptoms?
- A. Bipolar disorder
- B. Major depression
- C. Postpartum blues
- D. Postpartum depression
Correct Answer: B
Rationale: Major depression is characterized by deep feelings of worthlessness, guilt, serious sleep and appetite disturbances, and sometimes delusions about the infant being dead.
What nursing action is the most appropriate to prevent thrombus formation?
- A. Have the woman sit in a chair for meals.
- B. Monitor vital signs every 4 hours and report any changes.
- C. Tell the woman to remain in bed with her legs elevated.
- D. Assist the woman with ambulation for short periods of time.
Correct Answer: D
Rationale: Early ambulation and range-of-motion exercises are valuable aids to prevent thrombus formation in the postpartum woman.
What will the nurse plan to teach the woman to report to help prevent postpartum complications?
- A. Fever
- B. Change in lochia from red to white
- C. Contractions
- D. Fatigue and irritability
Correct Answer: A
Rationale: Increased temperature is a sign of infection. The other choices are normal in the postpartum period.
What should the nurse's first action be when postpartum hemorrhage from uterine atony is suspected?
- A. Teach the patient how to massage the abdomen and then get help.
- B. Start IV fluids to prevent hypovolemia and then notify the registered nurse.
- C. Begin massaging the fundus while another person notifies the physician.
- D. Ask the patient to void and reassess fundal tone and location.
Correct Answer: C
Rationale: When the uterus is boggy, the nurse should immediately massage it until it becomes firm.
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.