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7 Cards in this Set
- Front
- Back
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Perineal care is an important infection control measure. When evaluation a postpartum woman's perineal care technique, the nurse would recognize the need for further instruction if the woman:
a) Uses soap and warm water to wash the vulva and perineum b) Washes from symphysis pubis back to the episiotomy c) Changes her perineal pad every 2 to 3 hours d) Uses the peribottle to rinse upward into her vagina |
Uses the peribottle to rinse upward into her vagina
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On examining a woman who gave birth 5 hours ago, the nurse finds that the woman has completely saturated a perineal pad within 15 minutes. The nurse's first action is to:
a) Begin an IV infusion of Ringer's lactate solution b) Assess the woman's vital signs c) Call the woman's primary health care provider d) Message the woman's fundus |
Massage the woman's fundus
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Excessive blood loss after childbirth can have several causes; however, the most common is:
a) Vaginal or vulvar hematomas b) Unrepaired lacerations of the vagina or cervix c) Failure of the uterine muscle to contract firmly d) Retained placental fragments |
Failure of the uterine muscle to contract firmly
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Baby-friendly hospitals mandate their infants be put to breast within the first _______ after birth.
a) 1 hour b) 30 minutes c) 2 hours d) 4 hours |
1 hour
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Which finding would be a source of concern if noted during the assessment of a woman who is 12 hours' postpartum?
a) Postural hypotension b) Temperature of 38 C c) Bradycardia- pulse rate of 55 beats/min d) Pain in left calf with dorsiflexion of left foot |
Pain in left calf with dorsiflexion of left foot
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The nurse examines a woman 1 hour after birth. The woman's fundus is boggy, midline, and 1 cm below the umbilicus. Her lochial flow is profuse, with two plum-sized clots. The nurse's initial action is to:
a) Place her on a bedpan to empty her bladder b) Massage her fundus c) Call the physician d) Administer methylergonovine (Methergine), 0.2mg IM, which has been ordered prn |
Massage her fundus
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Two hours after giving birth a primiparous woman becomes anxious and complains of intense perineal pain with a strong urge to have a bowel movement. Her fundus is firm, at the umbilicus, and midline. Her lochia is moderate rubra with no clots. The nurse suspects:
a) Bladder distention b) Uterine atony c) Constipation d) Hematoma formation |
Hematoma formation
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