A nurse is caring for a client who had a vacuum-assisted delivery due to prolonged labor and is at risk for developing a hematoma in the perineal area.
Which of the following manifestations should alert the nurse to this complication?
Severe perineal pain
Bright red vaginal bleeding
Decreased hemoglobin level
Elevated white blood cell count
The Correct Answer is A
Severe perineal pain is a manifestation of a hematoma in the perineal area, which can result from vacuum-assisted delivery. A hematoma is a collection of blood under the skin or in the tissues that can cause pressure and pain.
Normal ranges for hemoglobin are 12 to 16 g/dL for women and 14 to 18 g/dL for men. Normal ranges for white blood cell count are 4,000 to 11,000 cells per microliter of blood.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A boggy uterus that does not respond to massage is an early indicator of postpartum hemorrhage.
A boggy uterus means that the uterus is not contracting properly after delivery, which can lead to excessive bleeding from the site where the placenta was attached.This condition is called uterine atony and it is the most common cause of postpartum hemorrhage.
Massage can help stimulate the uterus to contract and stop the bleeding, but if it does not work, other interventions are needed.
Correct Answer is B
Explanation
a vesicovaginal fistula is an abnormal opening that forms between the bladder and the wall of the vagina, causing urine to leak out of the vagina.Zinc oxide cream can help protect the skin from irritation and infection.
Normal ranges for fluid intake are about 2 to 3 liters per day for healthy adults, depending on age, activity level, and climate.Normal ranges for pelvic floor muscle strength are 10 to 12 contractions of 6 to 8 seconds each, with a rest period of 4 to 6 seconds between each contraction.
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