The nurse is assisting a pregnant patient into bed after the patient reports a gush of fluid from the vagina. Which action will the nurse take first?

Place client on her left side

Notify RN immediately

Document the time and color of fluid

Check fetal heart tones

Answer and Explanation

The Correct Answer is B

A.   Placing the client on her left side is important for optimizing fetal oxygenation but is not the first action when there is a report of a gush of fluid.
B.   Notifying the registered nurse (RN) immediately is the first action to ensure prompt assessment and appropriate interventions for possible ruptured membranes.
C.   Documenting the time and color of the fluid is important, but immediate notification of the RN takes precedence.
D.   Checking fetal heart tones is important but should be done in conjunction with notifying the RN to assess the overall situation and determine the appropriate course of action.

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Correct Answer is D

Explanation

A. An inverted nipple is not indicative of mastitis.

B. Presence of breast milk is expected postpartum and does not specifically indicate mastitis.

C. A bruised area is not a common sign of mastitis.

D. Mastitis often presents with localized pain, redness, swelling, and a hardening of the affected area of the breast. Asking about the presence of a hardening will help assess for mastitis.

A. Carboprost (Hemabate) B. Hydralazine (Apresoline) C. Misoprostol (Cytotec) D. Methylergonovine (Methergine) E. Oxytocin (Pitocin)

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

Explanation

A. Carboprost (Hemabate) is a prostaglandin used to control postpartum hemorrhage.

B. Hydralazine is an antihypertensive medication, not typically used for postpartum hemorrhage.

C. Misoprostol (Cytotec) is a prostaglandin that can be used to prevent or treat postpartum hemorrhage.

D. Methylergonovine (Methergine) is an ergot alkaloid used to manage postpartum hemorrhage.

E. Oxytocin (Pitocin) is a uterotonic medication commonly used to prevent or treat postpartum hemorrhage.

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The nurse is assisting a pregnant patient into bed after the patient reports a gush of fluid from the vagina. Which action will the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse takes a phone call from a client at two weeks postpartum. The client states, "My left breast hurts." What other question will the nurse ask her to determine if it is mastitis?

Correct Answer is D

Explanation

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

Explanation

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The nurse is assisting a pregnant patient into bed after the patient reports a gush of fluid from the vagina. Which action will the nurse take first?