A nurse is assessing a patient who is 6 hours postpartum and has endometritis. Which of the following findings should the nurse expect?

Uterine tenderness

WBC count 9,000/mm

Scant lochia

Temperature 37.4 C (99.3 F) .

Answer and Explanation

The Correct Answer is A

Choice A rationale
Uterine tenderness is a common symptom of endometritis, which is an inflammation or irritation of the lining of the uterus.
Choice B rationale
While a high WBC count can be an indicator of infection, a count of 9,000/mm is within the normal range.
Choice C rationale

Scant lochia is not typically associated with endometritis. In fact, women with endometritis may experience heavy lochia or prolonged bleeding.
Choice D rationale
A temperature of 37.4 C (99.3 F) is within the normal range. Endometritis is often associated with fever. .

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Correct Answer is A

Explanation

Choice A rationale
Facial petechiae are small, pinpoint, red or purple spots on the skin that result from minor bleeding from broken capillary blood vessels. They can occur as a result of a nuchal cord, which is when the umbilical cord becomes wrapped around the fetus’s neck. This can cause pressure and minor injuries, leading to the appearance of petechiae.
Choice B rationale
Periauricular papillomas are not typically associated with a nuchal cord. They are small, benign skin growths that occur near the ear. They are not a common finding in newborns and are not related to the conditions of birth.
Choice C rationale
Erythema toxicum is a common rash seen in newborns, characterized by tiny bumps surrounded by an area of red skin. It is not specifically associated with a nuchal cord.
Choice D rationale
Telangiectatic nevi, also known as “stork bites,” are common birthmarks seen in newborns, characterized by patches of pink or red skin. They are not specifically associated with a nuchal cord.

A. Yellow exudate will form at the surgical site in 24 hours B. The Plastibell will be removed 4 hours after the procedure C. Make sure the newborn’s diaper is snug D. Notify the provider if the end of your baby’s penis appears dark red

Correct Answer is A

Explanation

This is the correct answer. After a Plastibell circumcision, a yellow exudate, which is part of the normal healing process, will form at the surgical site within 24 hours.
Choice B rationale
The Plastibell device is not removed 4 hours after the procedure. It falls off naturally after seven to 10 days.
Choice C rationale
Making sure the newborn’s diaper is snug is not a specific instruction related to the Plastibell circumcision technique.
Choice D rationale
Notifying the provider if the end of the baby’s penis appears dark red is not a specific instruction related to the Plastibell circumcision technique.

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A nurse is assessing a patient who is 6 hours postpartum and has endometritis. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. What clinical findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique. Which of the following information should the nurse include?

Correct Answer is A

Explanation

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