A nurse is assessing a client who is 3 days postpartum.
Which of the following findings should the nurse report to the provider?
Heart rate 89/min.
BP 120/70 mm Hg.
Moderate lochia serosa.
Cool, clammy skin.
The Correct Answer is D
Choice A rationale
A heart rate of 89/min is within the normal range for adults, and would not typically be a cause for concern.
Choice B rationale
A blood pressure of 120/70 mm Hg is considered normal for adults.
Choice C rationale
Moderate lochia serosa is a normal part of the postpartum period.
Choice D rationale
This is the correct answer. Cool, clammy skin can be a sign of postpartum hemorrhage, a serious condition that requires immediate medical attention.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
A heart rate of 89/min is within the normal range for adults, and would not typically be a cause for concern.
Choice B rationale
A blood pressure of 120/70 mm Hg is considered normal for adults.
Choice C rationale
Moderate lochia serosa is a normal part of the postpartum period.
Choice D rationale
This is the correct answer. Cool, clammy skin can be a sign of postpartum hemorrhage, a serious condition that requires immediate medical attention.
Correct Answer is D
Explanation
Choice A rationale
While it’s true that symptoms of GBS in pregnant women are often not apparent, the absence of symptoms does not eliminate the risk of transmission to the baby during delivery.
Therefore, this is not the primary reason for the timing of the test.
Choice B rationale
Even though a woman’s previous deliveries were negative for GBS, it doesn’t mean she won’t have GBS in subsequent pregnancies. GBS can come and go in a person’s body without symptoms, so even if previous tests were negative, a woman could still have GBS in her current pregnancy.
Choice C rationale
GBS is not typically part of early prenatal testing. It is usually tested for late in the third trimester because a woman can test negative earlier in pregnancy and be positive by the time of delivery.
Choice D rationale
This is the correct answer. The primary reason for testing for GBS late in pregnancy is to identify women who are GBS positive at the time of delivery, as these women have a risk of transmitting GBS to their newborns during delivery.
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