Exam 17: Postpartum Physiologic Adaptations

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Which vaccinations are indicated for the postpartum client if she does not have immunity? (Select all that apply.)

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A, B, C

Which assessment finding 24 hours after vaginal birth would indicate a need for further intervention?

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D

The nurse decides to perform a prescribed PRN intermittent sterile catheterization on a postpartum client if which occurs? (Select all that apply.)

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B, D

The postpartum nurse is administering ibuprofen (Advil) to a client with episiotomy discomfort. The prescribed order is 400 mg of Advil by mouth every 6 to 8 hours PRN for discomfort. The Advil sent by the pharmacy is 200 mg/tablet. How many tablet(s) should the nurse administer to the client? Record your answer as a whole number. _____ tab(s)

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The nurse is caring for a postpartum client who delivered by the vaginal route 12 hours ago. Which assessment finding should the nurse report to the health care provider?

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Which of the following would indicate an abnormal finding during the postpartum period?

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Which documentation in the client's chart on the 14th postpartum day indicates a normal involution process?

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Rho(D) immune globulin will be ordered postpartum if which situation occurs?

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Vaginal exam findings reveal a slitlike opening of the cervix. What is the correct interpretation of this finding with regard to obstetric history?

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

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If rubella vaccine is indicated for a postpartum client, which instructions to the client should be included?

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

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The nurse includes the addition of ice sitz baths for the postpartum patient. Which assessment finding indicates the treatment has been effective?

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The nurse is teaching a client with a midline episiotomy about perineal care after a vaginal birth. Which statements by the client indicate she understands the teaching? (Select all that apply.)

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The nurse is teaching a non-breastfeeding client measures to suppress lactation. Which should the nurse include in the teaching session? (Select all that apply.)

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The nurse has completed a postpartum assessment on a client who delivered an hour ago. Which amount of lochia consists of a moderate amount?

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The nurse is planning comfort measures to implement for a client after a vaginal birth. Which measures should the nurse plan to implement? (Select all that apply.)

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Which fundal assessment finding at 12 hours after birth requires further assessment?

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Which maternal event is abnormal in the early postpartal period?

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

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