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A nurse is caring for a mother who delivered vaginally 2 hours ago.
Hemoglobin: 9 g/dL (11 to 14 g/dL). Hematocrit: 30% (36 to 43%). Platelets: 220,000/mm³ (150,000 to 400,000/mm³). WBC count: 12,000/mm³ (4,000 to 15,000/mm³). Temperature: 38.3°C (100.9°F). Select the 4 findings the nurse should report to the provider.

Respiratory assessment.

Hemoglobin level.

Heart rate.

Constant trickle of blood at the vagina.

Answer and Explanation

Correct Answer : B,D

Choice A rationale

Respiratory assessment is important but not immediately concerning without specific abnormal findings.

Choice B rationale

Hemoglobin level of 9 g/dL is low and could indicate postpartum hemorrhage or anemia, warranting attention.

Choice C rationale

Heart rate abnormalities would be significant but are not provided in the data given.

Choice D rationale

Constant trickle of blood at the vagina suggests ongoing bleeding which could indicate a postpartum hemorrhage, requiring prompt intervention.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B","C","D"]

Explanation

Choice A rationale

Respiratory assessment is vital, especially following childbirth, to ensure the mother is not experiencing respiratory issues.

Choice B rationale

Monitoring hemoglobin levels can help identify significant blood loss during delivery, which can lead to anemia and other complications.

Choice C rationale

A heart rate that is elevated postpartum may indicate underlying issues such as infection or hemorrhage, which need to be reported.

Choice D rationale

Continuous blood trickling from the vagina is a warning sign of potential postpartum hemorrhage, which is a medical emergency.

Correct Answer is ["0.43"]

Explanation

Step 1 is 4300 grams ÷ 1000 = 4.3 kg.

Step 2 is 4.3 kg × 2 mg = 8.6 mg.

Step 3 is 8.6 mg ÷ (20 mg ÷ 1 ml) = 0.43 ml.

Answer: 0.43 ml.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a mother who delivered vaginally 2 hr ago. 38 week gestation.Vaginal delivery of a 9-pound 8-ounce baby girl. Select the 4 findings the nurse should report to the provider.

Correct Answer is ["A","B","C","D"]

Explanation

A neonatologist prescribes gentamicin for a 2-day-old, septic preterm infant who weighs 4300 grams. The dosage of gentamicin for babies less than 1 week of age is 2 mg/kg q 12 hours. The dose on hand is 20 mg per 1 ml. The nurse calculates the safe dose of this medication to be. ml. in 12 hours.

Correct Answer is ["0.43"]

Explanation

A newly admitted postpartum client who delivered vaginally has saturated 6 perineal pads with bright red blood and many small clots during a one-hour period.The nurse suspects a post-partum hemorrhage.The nurse knows that a risk factor for post-partum hemorrhage is:

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