Ch. 21 Postpartum Adaptations Flashcards Preview

Mckinney, 3rd edition Mother baby > Ch. 21 Postpartum Adaptations > Flashcards

Flashcards in Ch. 21 Postpartum Adaptations Deck (13):
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1. A postpartum woman overhears the nurse tell the obstetrics clinician that she has a positive Homans sign and asks what it means. The nurse's best response is:

"You have calf pain when the nurse flexes your foot."

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2. Which woman would be most likely to have severe afterbirth pains and request a narcotic analgesic?

Gravida 5, para 5

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3. Which maternal event is abnormal in the early postpartum period?

Lochial color changes from rubra to alba

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4. Which finding 12 hours after birth would require further assessment?

The fundus is palpable two fingerbreadths above the umbilicus.

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5. If the client's white blood cell (WBC) count is 25,000/mm on her second postpartum day, the nurse should:

recognize that this is an acceptable range at this point postpartum.

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6. Postpartal overdistention of the bladder and urinary retention can lead to which complication?

Postpartum hemorrhage and urinary tract infection

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7. A postpartum client asks, "Will these stretch marks go away?" The nurse's best response is:

"They will fade to silvery lines but won't disappear completely."

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8. A pregnant client asks when the dark line on her abdomen (linea nigra) will go away. The nurse knows the pigmentation will decrease after delivery because of:

decreased melanocyte-stimulating hormone.

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9. If the fundus is palpated on the right side of the abdomen above the expected level, the nurse should suspect that the client has:

a distended bladder.

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10. The Centers for Disease Control and Prevention (CDC) recommends the use of personal protective equipment when the nurse is likely to come into contact with:

blood and blood products.

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11. Rho immune globulin will be ordered postpartum if which situation occurs?

Mother Rh–, baby Rh+

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12. If rubella vaccine is indicated for a postpartum client, instructions to the client should include:

an explanation of the risks of becoming pregnant within 3 months after injection.

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13. Which nursing action is most appropriate to correct a boggy uterus that is displaced above and to the right of the umbilicus?

Assist the client in emptying her bladder.