The clinic nurse is triaging postpartum patients. Which patient will the nurse have the healthcare provider see first?

A patient who has difficulty sleeping and is extremely fatigued.

A patient who states they believe someone is going to steal their baby.

A patient who has a baby in the neonatal intensive care unit.

A teenager 6 weeks postpartum with the flu.

Answer and Explanation

The Correct Answer is B

Choice A reason: Difficulty sleeping and extreme fatigue are common postpartum symptoms, but they do not indicate an immediate emergency. This patient can be seen after addressing more urgent concerns.

Choice B reason: A patient who believes someone is going to steal their baby may be experiencing postpartum psychosis or severe anxiety. This is a serious mental health concern that requires immediate attention from a healthcare provider to ensure the safety and well-being of both the patient and the baby.

Choice C reason: Having a baby in the neonatal intensive care unit is certainly stressful and requires support, but it does not indicate an immediate medical emergency for the postpartum patient themselves. This patient can be seen after more urgent cases are addressed.

Choice D reason: A teenager who is 6 weeks postpartum with the flu requires medical care, but the symptoms of the flu are generally not as urgent as the mental health concerns presented by a patient experiencing severe anxiety or psychosis. This patient can be seen after more critical cases are attended to.

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

Explanation

Choice A reason: Having the patient sit on the side of the bed before standing is crucial to prevent dizziness or fainting, especially after giving birth. This intervention allows the patient to stabilize and ensures that they do not experience sudden drops in blood pressure, which can lead to falls.

Choice B reason: Walking alongside the patient to the bathroom is important to provide support and ensure their safety. The patient may still be weak or unsteady after giving birth, and having the nurse nearby can help prevent falls and provide assistance if needed.

Choice C reason: Obtaining an oral temperature is not immediately necessary when assisting a patient to the bathroom post-vaginal birth. While monitoring vital signs is important, this intervention does not directly contribute to the immediate need for safe ambulation.

Choice D reason: Assessing for sensation in the lower extremities is essential to ensure that the patient has regained feeling and control in their legs. This assessment helps to determine if there are any residual effects from epidural anaesthesia or other factors that may affect mobility and safety.

Choice E reason: Assessing bowel sounds and passing flatus is important for overall postpartum care but is not directly related to assisting the patient to the bathroom. This intervention is more relevant to monitoring gastrointestinal recovery and function after childbirth.

A. red blood cell counts 4.5 million/cu mm B. Haematocrit 37% C. Platelets 85,000/mm3 D. Haemoglobin 14 g/dL

Correct Answer is C

Explanation

Choice A reason: A red blood cell count of 4.5 million/cu mm is within the normal range for pregnant women. It does not indicate an immediate concern that needs to be reported to the healthcare provider. Normal red blood cell counts help ensure adequate oxygen transport in the body.

Choice B reason: A haematocrit level of 37% is also within the normal range for pregnant women. Haematocrit measures the proportion of red blood cells in the blood, and this level does not indicate an immediate concern. It is important for maintaining proper oxygen delivery and overall blood volume.

Choice C reason: Platelets 85,000/mm3 is significantly below the normal range (150,000-450,000/mm3). Low platelet counts (thrombocytopenia) can lead to increased risk of bleeding and can be a sign of conditions like preeclampsia, HELLP syndrome, or other blood disorders. This is a critical finding that needs to be immediately reported to the healthcare provider for further evaluation and management to prevent potential complications.

Choice D reason: Haemoglobin level of 14 g/dL is within the normal range for pregnant women and indicates good oxygen-carrying capacity of the blood. It does not represent an immediate concern that would require urgent reporting to the healthcare provider. Maintaining proper haemoglobin levels is crucial for overall health and well-being.

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The clinic nurse is triaging postpartum patients. Which patient will the nurse have the healthcare provider see first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Explanation

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Correct Answer is C

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