(from search results) What factor places the postpartum client at risk for thromboembolism?

Increased clotting factors

Decreased blood volume

Increased cardiac output

Decreased heart rate.

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. Increased clotting factors. Increased clotting factors are a physiological adaptation to pregnancy that reduces the risk of hemorrhage during delivery, but also increases the risk of venous thromboembolism (VTE) in pregnancy and postpartum. The risk of VTE is highest in the first week after delivery and gradually declines over the next 12 weeks.

Choice B is wrong because decreased blood volume is not a risk factor for VTE. In fact, blood volume increases by about 50% during pregnancy to meet the increased metabolic demands of the mother and fetus.

Choice C is wrong because increased cardiac output is not a risk factor for VTE.

Cardiac output also

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Correct Answer is A

Explanation

The correct answer is choice A) Document findings as normal.

The fundus is the upper part of the uterus that contracts after delivery to prevent bleeding.The fundus should be firm, midline, and at the level of the umbilicus or lower on the second postpartum day.Lochia rubra is the normal bloody discharge that occurs for the first few days after delivery and should not contain large clots.The normal range of lochia rubra is scant to moderate.

Choice B) Massage fundus until it becomes firm is wrong because the fundus is already firm and does not need further stimulation.

Choice C) Administer oxytocin (Pitocin) is wrong because oxytocin is a medication that helps the uterus contract and is not indicated for a firm fundus.

Choice D) Increase IV fluid rate is wrong because IV fluids are not related to the assessment of the fundus and lochia and may cause fluid overload.

A. Use a sitz bath three times per day and after each bowel movement B. Wipe from back to front after voiding or having a bowel movement C. Apply ice packs to the perineum for the first 24 hours D. Perform Kegel exercises several times per day E. Report any increase in redness, swelling, or discharge from the episiotomy site.

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

Explanation

The correct answer is choice A, C, D and E. These are the instructions that the nurse should include in the teaching for a client who had a vaginal delivery with a midline episiotomy.

• Choice A is correct because using a sitz bath three times per day and after each bowel movement can help reduce pain, swelling and infection of the perineum.

• Choice C is correct because applying ice packs to the perineum for the first 24 hours can help reduce inflammation and bleeding.

• Choice D is correct because performing Kegel exercises several times per day can help strengthen the pelvic floor muscles and improve urinary continence.

• Choice E is correct because reporting any increase in redness, swelling or discharge from the episiotomy site can help detect signs of infection or wound breakdown.

• Choice B is wrong because wiping from back to front after voiding or having a bowel movement can increase the risk of infection by introducing bacteria from the anal area to the vaginal area.The correct way to wipe is from front to back.

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(from search results) What factor places the postpartum client at risk for thromboembolism?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who delivered an infant vaginally 2 days ago and notes that the fundus is firm, midline, and at the level of the umbilicus, lochia rubra is moderate, and there are no clots present in the lochia flow. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is providing discharge teaching to a client who had a vaginal delivery with a midline episiotomy. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

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

Explanation

A nurse is caring for a postpartum client who delivered vaginally yesterday and has been experiencing heavy vaginal bleeding since delivery. Which of the following actions should the nurse take first?

A nurse is preparing a discharge plan for a postpartum woman who had a vaginal delivery with a second-degree perineal tear. The nurse includes instructions on how to care for the perineum at home. Which statement by the woman indicates that she understands the instructions?

A nurse is caring for a client who has postpartum endometritis and is receiving IV antibiotics. Which of the following findings indicates that the client is experiencing an adverse effect of the medication?

A nurse is caring for a postpartum client who has an episiotomy wound infection. Which of the following should the nurse do? (Select all that apply.) A) Administer antibiotics as prescribed.

A nurse is caring for a postpartum client who reports heavy vaginal bleeding and passing large clots since delivery 2 days ago. Which of the following actions should the nurse take first?

A nurse is caring for a client who has postpartum endometritis and is receiving IV antibiotics. Which of the following instructions should the nurse include in the plan of care? A) Encourage fluid intake to promote hydration.

Question 48. A client who has undergone a cesarean section is experiencing abdominal pain and tenderness. Which of the following should the nurse assess for?

(Select all that apply) A nurse is monitoring a postpartum woman who is taking codeine for severe pain after birth. The nurse knows that codeine can pass through breastmilk and cause adverse effects in the baby. Which signs and symptoms should the nurse watch for in the baby?