A nurse is reviewing the laboratory results of a postpartum client who had a hemorrhage due to uterine atony. Which finding would be expected in this client?

Decreased hematocrit and hemoglobin levels.

Increased white blood cell and platelet counts.

Decreased prothrombin time and partial thromboplastin time.

Increased fibrinogen and fibrin degradation products.

Answer and Explanation

The Correct Answer is A

The correct answer is A. Decreased hematocrit and hemoglobin levels. This is because postpartum hemorrhage can lead to hypovolemia which can cause a decrease in hematocrit and hemoglobin levels. Increased white blood cell and platelet counts (option B) are not expected findings in postpartum hemorrhage. Decreased prothrombin time and partial thromboplastin time (option C) are not expected findings in postpartum hemorrhage. Increased fibrinogen and fibrin degradation products (option D) are not expected findings in postpartum hemorrhage.

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Correct Answer is C

Explanation

The correct answer is choice C. “I am starting to feel like I can handle being a mother.” This statement indicates that the client is in the informal stage of maternal role attainment, which is characterized by a sense of confidence and competence in the maternal role.

The client develops her own style of mothering and integrates feedback from others.

Choice A is wrong because it reflects the initial stage of maternal role attainment, which is marked by a strong emotional attachment to the newborn.

Choice B is wrong because it suggests that the client is in the formal stage of maternal role attainment, which involves learning the skills and behaviors of mothering from external sources such as healthcare providers and family members.

Choice D is wrong because it implies that the client is in the anticipatory stage of maternal role attainment, which occurs during

A. To prevent uterine prolapse B. To prevent uterine hemorrhage C. To prevent uterine inversion D. To stabilize the lower uterine segment

Correct Answer is D

Explanation

The correct answer is choice D. To stabilize the lower uterine segment.Palpating the uterus after delivery helps to determine its size, firmness and rate of descent, which are indicators of its involution.The nurse places one hand just above the symphysis pubis to support the lower uterine segment and prevent it from being pushed down by the pressure of the other hand on the fundus.This prevents complications such as uterine inversion or prolapse.

Choice A is wrong because uterine prolapse is not prevented by placing one hand above the symphysis pubis, but by supporting the lower uterine segment with that hand.

Choice B is wrong because uterine hemorrhage is not prevented by placing one hand above the symphysis pubis, but by massaging the fundus to make it firm and contract the blood vessels.

Choice C is wrong because uterine inversion is not prevented by placing one hand above the symphysis pubis, but by stabilizing the lower uterine segment with that hand and avoiding excessive traction on the umbilical cord.

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A nurse is reviewing the laboratory results of a postpartum client who had a hemorrhage due to uterine atony. Which finding would be expected in this client?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is in the informal stage of maternal role attainment. Which of the following statements by the client indicates an understanding of this stage?

Correct Answer is C

Explanation

The nurse is palpating a patient’s uterus 12 hours after a vaginal delivery. For which reason does the nurse place one hand just above the symphysis pubis?

Correct Answer is D

Explanation

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A nurse is reviewing the laboratory results of a postpartum client who had a hemorrhage due to uterine atony. Which finding would be expected in this client?