A nurse is caring for a client who is 12 hr postpartum following a vaginal delivery. Which of the following findings should the nurse expect?

Fundus soft, 1 cm to the right of the umbilicus

Fundus soft, 2 cm above the umbilicus

Fundus firm, at the level of the umbilicus

Fundus present, to the left of the umbilicus

Answer and Explanation

The Correct Answer is C

C) Fundus firm, at the level of the umbilicus:
Twelve hours postpartum, the fundus should be firm, indicating ongoing uterine contraction, and it should be at the level of the umbilicus. This position and consistency indicate that the uterus is involuting properly, and bleeding risk is reduced.

A) Fundus soft, 1 cm to the right of the umbilicus:
A soft fundus located 1 cm to the right of the umbilicus suggests that the uterus is not contracting adequately and may be at risk for postpartum hemorrhage. This finding is not expected 12 hours postpartum.

B) Fundus soft, 2 cm above the umbilicus:
A soft fundus located 2 cm above the umbilicus suggests that the uterus is not contracting adequately and may be at risk for postpartum hemorrhage. This finding is not expected 12 hours postpartum.

D) Fundus present, to the left of the umbilicus:
The location "to the left of the umbilicus" is not a normal position for the fundus postpartum. The fundus should be at or below the level of the umbilicus to indicate proper involution.

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Correct Answer is ["2"]

Explanation

To find out how many lithium carbonate capsules the nurse should administer per dose, we can divide the prescribed dosage (in milligrams) by the amount of lithium carbonate per capsule (in milligrams), and then round to the nearest whole number:

Prescribed dose per administration: 300 mg

Amount of lithium carbonate per capsule: 150 mg/capsule

Steps to find the number of capsules to administer:

Divide the prescribed dose by the amount of lithium carbonate per capsule: 300 mg / 150 mg/capsule = 2 capsules

Since the dosage is already a whole number (2), there's no need to round in this case.

Therefore, the nurse should administer 2 capsules of lithium carbonate per dose.

A. Inform the client the anesthetic effect will last for approximately 6 hr. B. Obtain a 30 min electronic fetal monitoring (EFM) strip prior to induction. C. Administer a 500 mL bolus of 5% dextrose in water prior to induction. D. Have the client stand at the bedside with her arms at her side.

Correct Answer is B

Explanation

A) Inform the client the anesthetic effect will last for approximately 6 hr:
This statement is inaccurate. While the duration of the analgesic effect may vary, epidural analgesia typically provides pain relief for the duration of labor. It is not appropriate to provide a specific time frame like 6 hours as the duration can vary widely depending on the type of medication used and individual response.

B) Obtain a 30-min electronic fetal monitoring (EFM) strip prior to induction:
This is the correct action. It is essential to obtain a baseline fetal heart rate tracing for at least 20-30 minutes prior to initiating epidural analgesia. This allows the healthcare team to assess the fetal status and identify any baseline abnormalities before the initiation of anesthesia.

C) Administer a 500 mL bolus of 5% dextrose in water prior to induction:
This action is not directly related to the preparation for epidural analgesia. Providing a dextrose solution is not a standard practice before epidural placement.

D) Have the client stand at the bedside with her arms at her side:
This action is not appropriate for preparing a client for epidural analgesia. The client should be in a comfortable position, such as sitting or lying on the side, for the procedure.

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A nurse is caring for a client who is 12 hr postpartum following a vaginal delivery. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer lithium 300 mg PO every 8 hr. Available is lithium carbonate 150 mg capsules. How many capsules should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

A nurse is preparing a client who is in active labor for epidural analgesia. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate IV at 2 g/hr. Which of the following findings indicates that it is safe for the nurse to continue the infusion?

A nurse is assessing a client who received magnesium sulfate to treat preterm labor. Which of the following clinical findings should the nurse identify as an indication of toxicity of magnesium sulfate therapy and report to the provider?

A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and displaced to the right. Based on these findings, which of the following actions should the nurse take?

A nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station. Which of the following is the correct Interpretation of this clinical finding?

A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia. Which of the following findings should the nurse report to the provider?

A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, moveable part in the fundus of the uterus and a long, smooth surface on the client's right side. In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?

A nurse is preparing to administer amantadine 150 mg PO every 12 hr. Available is amantadine 50 mg/5 mL syrup. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)