The nurse is caring for a postpartum client who delivered 5 hours ago, and has saturated a perineal pad with clots within the last 15 minutes.Which action is most important for the nurse to implement?

Assess the vital signs.

Increase IV infusion rate.

Notify the healthcare provider.

Massage the fundus.

None

Answer and Explanation

The Correct Answer is D

Assessing vital signs is important but not the most immediate action for heavy postpartum bleeding. It provides information about the client's current status but does not address the bleeding directly.

Choice B rationale

Increasing the IV infusion rate can help manage blood loss by maintaining blood volume, but it is not the first action to take when managing postpartum hemorrhage.

Choice C rationale

Notifying the healthcare provider is important but secondary to addressing the immediate cause of the bleeding. The provider will need information about the client's status and the actions taken to manage the situation.

Choice D rationale

Massaging the fundus is the most immediate and effective action to reduce postpartum hemorrhage. It stimulates uterine contractions, which helps to clamp down on the blood vessels and stop the bleeding.

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

Explanation

Choice A rationale

Standard precautions should always be used to prevent the transmission of infections. This includes wearing gloves, gowns, and masks when necessary to protect both the healthcare provider and the patient.

Choice B rationale

Antiviral medication is critical for an HIV-positive mother in labor to reduce the risk of vertical transmission of the virus to the newborn. Intravenous administration ensures rapid delivery and effective drug levels.

Choice C rationale

Droplet precautions are not necessary for HIV as the virus is not transmitted via droplets. It is primarily transmitted through blood, sexual contact, and from mother to child during childbirth or breastfeeding.

Choice D rationale

Bottle-feeding is encouraged for HIV-positive mothers to prevent postnatal transmission of the virus through breast milk. Breastfeeding can increase the risk of the infant contracting HIV.

Choice E rationale

Negative pressure rooms are used for airborne diseases like tuberculosis, not for HIV. HIV is not airborne, so standard precautions suffice.

A. Latanoprost eye drops. B. Erythromycin ointment. C. Tetracaine eye drops. D. Neomycin ointment.

Correct Answer is B

Explanation

Choice A rationale

Latanoprost eye drops are used to reduce intraocular pressure in glaucoma patients and are not relevant for a newborn exposed to Neisseria gonorrhoeae.

Choice B rationale

Erythromycin ointment is the correct medication to administer to a newborn exposed to Neisseria gonorrhoeae. It is used to prevent ophthalmia neonatorum, an eye infection caused by the bacteria. Administering erythromycin ointment is essential to protect the newborn's eyes from potential blindness or severe infection.

Choice C rationale

Tetracaine eye drops are a topical anesthetic used to numb the eyes during procedures and are not indicated for preventing neonatal eye infections caused by Neisseria gonorrhoeae.

Choice D rationale

Neomycin ointment is an antibiotic used for treating bacterial infections, but it is not the standard treatment for preventing ophthalmia neonatorum in newborns exposed to Neisseria gonorrhoeae. Erythromycin ointment is the recommended prophylactic treatment. .

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The nurse is caring for a postpartum client who delivered 5 hours ago, and has saturated a perineal pad with clots within the last 15 minutes.Which action is most important for the nurse to implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client at 40 weeks gestation is admitted in active labor, and laboratory findings indicate that she is HIV positive.Which action(s) should the nurse plan to perform? Select all that apply.

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

Explanation

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Correct Answer is B

Explanation

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