Nokea
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.
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When weaning a newborn from breastfeeding, what should the mother do?
- A. Eliminate one feeding at a time.
- B. Eliminate the favorite feeding last.
- C. Expect the need for comfort feeding.
- D. Substitute formula for younger infants.
- E. Pump breasts in place of eliminated feeding.
Correct Answer: B,C,D
Rationale: When weaning a newborn from breastfeeding, the mother should eliminate the favorite feeding last, one feeding at a time, and expect the need for comfort feeding. In younger infants, formula will need to be substituted. Pumping in place of eliminated feeding would continue milk production.
A woman is diagnosed with a urinary tract infection in the postpartum period. What foods can the nurse encourage to increase the acidity of urine?
- A. Apricots
- B. Cranberry juice
- C. Plums
- D. Prunes
- E. Apples
Correct Answer: A,B,C,D
Rationale: Apricots, cranberry juice, plums, and prunes can increase the acidity of urine to help manage a urinary tract infection.
What action should the nurse implement?
- A. Notify the charge nurse of a possible infection.
- B. Prepare to put the patient in isolation.
- C. Have the infant removed from the room and returned to the nursery.
- D. Assess the patient further.
Correct Answer: D
Rationale: A white blood cell count of 20,000 to 30,000 cells/dL is normal in the early postpartum period, so the patient should be assessed further for other signs of infection.
How does the nurse most likely feel and react to this finding?
- A. Concerned and reports a probable cervical laceration
- B. Attentive and massages the uterus to expel retained clots
- C. Distressed and reports a possible clotting disorder
- D. Satisfied with the normal early postpartum finding
Correct Answer: A
Rationale: The bright trickle of blood with a firm uterus suggests a cervical laceration.
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.