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) .
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. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Synchronized breathing is not specifically required during hypnosis. Hypnosis involves a state of deep relaxation and focused concentration.
Choice B rationale
While focusing on controlling body functions can be a part of some relaxation and pain management techniques, it is not the primary component of hypnosis. Hypnosis is more about reaching a state of deep relaxation and altering one’s state of consciousness.
Choice C rationale
Hypnosis can indeed be beneficial if practiced during the prenatal period. Regular practice can help enhance the effectiveness of hypnosis during labor by making it easier for the person to reach the hypnotic state.
Choice D rationale
This statement is not entirely accurate. Hypnosis can be an effective method for managing labor pain for some individuals. However, like all pain management techniques, its effectiveness can vary from person to person.
Correct Answer is A
Explanation
Choice A rationale
Irregular contractions of 10 to 20 seconds in duration that are not felt by the client during a nonstress test may indicate a need for further diagnostic testing. These could be Braxton Hicks contractions, which are normal, but if they become regular and increase in intensity, they could indicate preterm labor.
Choice B rationale
An increase in fetal heart rate to 150/min above the baseline of 140/min lasting 10 seconds in response to fetal movement within a 40-min testing period is a normal finding on a nonstress test. This is known as a reactive nonstress test and indicates that the fetus is well-oxygenated.
Choice C rationale
No late decelerations in the fetal heart rate noted with three uterine contractions of 60 seconds in duration within a 10-min testing period is a normal finding on a nonstress test. Late decelerations can indicate fetal hypoxia.
Choice D rationale
Three fetal movements perceived by the client in a 20-min testing period is a normal finding on a nonstress test. Fetal movement is a positive sign of fetal well-being.
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