Which of the following is the nurse’s initial action when umbilical cord prolapse occurs?
The immediate priority is to minimize pressure on the cord. Thus the nurse’s initial action involves placing the client on bed rest and then placing the client in a knee-chest position or lowering the head of the bed and elevating the maternal hips on a pillow to minimize the pressure on the cord.
When uterine rupture occurs, which of the following would be the priority?
With uterine rupture, the client is at risk for hypovolemic shock. Therefore, the priority is to prevent and limit hypovolemic shock. Immediate steps should include giving oxygen, replacing lost fluids, providing drug therapy as needed, evaluating fetal responses and preparing for surgery.
Which of the following assessment findings would the nurse expect if the client develops DVT?
Classic symptoms of DVT include muscle pain, the presence of Homans sign, and swelling of the affected limb.
Which of the following is the primary predisposing factor related to mastitis?
With mastitis, injury to the breast, such as overdistention, stasis, and cracking of the nipples, is the primary predisposing factor.
Which of the following best describes thrombophlebitis?
Thrombophlebitis refers to an inflammation of the vascular endothelium with clot formation on the wall of the vessel.
Which of the following amounts of blood loss following birth marks the criterion for describing postpartum hemorrhage?
Postpartum hemorrhage is defined as blood loss of more than 500 ml following birth. Any amount less than this not considered postpartum hemorrhage.
Which of the following best reflects the frequency of reported postpartum “blues”?
According to statistical reports, between 50% and 80% of all new mothers report some form of postpartum blues. The ranges of 10% to 40%, 30% to 50%, and 25% to 70% are incorrect
Which of the following factors is the underlying cause of dystocia?
Dystocia is difficult, painful, prolonged labor due to mechanical factors involving the fetus (passenger), uterus (powers), pelvis (passage), or psyche.
Which of the following are the most commonly assessed findings in cystitis?
Manifestations of cystitis include, frequency, urgency, dysuria, hematuria nocturia, fever, and suprapubic pain. Dehydration, Hypertension, and chills are not typically associated with cystitis. High fever chills, flank pain, nausea, vomiting, dysuria, and frequency are associated with pyelonephritis.
When PROM occurs, which of the following provides evidence of the nurse’s understanding of the client’s immediate needs?
PROM can precipitate many potential and actual problems; one of the most serious is the fetus loss of an effective defense against infection. This is the client’s most immediate need at this time.
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