Nokea
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.
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What is the best nursing response to the woman's statement?
- A. How is your partner adjusting to the change?'
- B. I hear this from a lot of first-time mothers.'
- C. Have you told anyone else about your feelings?'
- D. Tell me how things are different.'
Correct Answer: D
Rationale: The nurse may help the new mother by being a sympathetic listener and eliciting her feelings about motherhood and her infant.
What does the nurse recognize these signs indicate?
- A. Uterine atony
- B. Uterine dystocia
- C. Uterine hypoplasia
- D. Uterine dysfunction
Correct Answer: A
Rationale: Atony describes a lack of normal muscle tone. If the uterus is atonic, then muscle fibers are flaccid and will not compress bleeding vessels.
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.
The nurse weighs a saturated perineal pad and finds it to weigh 15 grams. The nurse is aware that this indicates a blood loss of __ mL.
Correct Answer: 15
Rationale: The weight of 1 g in a perineal pad is equal to 1 mL of blood loss.
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.