A postparturient patient with endometritis may present with which of the following manifestations?

Fever, tachycardia, abdominal pain, and purulent discharge.

Hypertension, headache, blurry vision, and chest pain.

Hyperglycemia, dehydration, and frequent urination.

Hypothermia, bradycardia, and jaundice.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Fever, tachycardia, abdominal pain, and purulent discharge are classic signs of endometritis, which is a postpartum infection of the uterine lining, indicating an inflammatory response to bacterial invasion.

Choice B rationale

Hypertension, headache, blurry vision, and chest pain are symptoms more indicative of preeclampsia or hypertensive disorders, not endometritis, which primarily affects the reproductive system.

Choice C rationale

Hyperglycemia, dehydration, and frequent urination are indicative of diabetes mellitus, particularly in cases of diabetic ketoacidosis, not associated with postpartum uterine infections.

Choice D rationale

Hypothermia, bradycardia, and jaundice suggest liver dysfunction or severe infections leading to sepsis, but these are not primary manifestations of endometritis which involves local uterine infection.

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

Explanation

Choice A rationale

Placing the mother in the knee-chest position helps relieve pressure on the umbilical cord, improving blood flow and oxygen delivery to the fetus.

Choice B rationale

Encouraging vigorous pushing can exacerbate the prolapse, reducing blood flow to the fetus and increasing the risk of complications.

Choice C rationale

Applying a warm compress to the umbilical cord is not effective in managing a prolapsed cord and does not improve fetal outcomes.

Choice D rationale

Administering oxygen to the mother increases the amount of oxygen delivered to the fetus, potentially mitigating the effects of the prolapse.

Correct Answer is ["95"]

Explanation

Step 1 is (380 mL ÷ 4 hours) = 95 mL/hour.

Final answer is 95 mL/hour.

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A postparturient patient with endometritis may present with which of the following manifestations?

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Naxlex Comprehensive Predictor Exams

Which interventions are appropriate when managing a prolapsed umbilical cord during labor? (Select all that apply)

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

Explanation

A client is ordered 380 mL of packed red blood cells over 4 hours. What is the rate of infusion to be set on the IV pump? (Round to a whole number.) (Med math question, no options provided.)

Correct Answer is ["95"]

Explanation

A nurse is caring for a client at 28 weeks of gestation who has a blood pressure reading of 162/108 mm Hg, and 4 hours previously it was 148/98 mm Hg. Which of the following orders should the nurse anticipate receiving? (Select all that apply))

A postparturient patient with endometritis may present with which of the following manifestations?

A patient tells the nurse that she knows all about sexually transmitted infections and proceeds to make the following statements. Which one is the only correct statement that the client makes?

A nurse is reviewing the medical record of a client who gave birth 2 hours ago. Which of the following findings increases the client’s risk for postpartum hemorrhage?

A patient is admitted to labor and delivery for management of severe preeclampsia. An IV infusion of magnesium sulfate is ordered. What is the primary goal for magnesium sulfate therapy?

A nurse has received a change-of-shift report for four clients. Which of the following clients should the nurse identify as being at the highest risk for a complication of pregnancy?