The nurse is monitoring a client who is 3 hours postpartum. On assessment, the nurse notes a temperature of 102.4°F.

Which action should the nurse prioritize?

Continue to monitor for another hour.

Administer an antipyretic.

Assist the client in ambulation.

Notify the RN; she will notify the provider.

Answer and Explanation

The Correct Answer is D

A postpartum fever is defined as a temperature greater than 100.4 degrees F (38.0 degrees C) on at least two occasions.
These fevers cannot be ignored as they can represent serious infections. The first task is to identify the source.
Choice A is not correct because continuing to monitor for another hour may delay necessary treatment.
Choice B is not correct because administering an antipyretic may only treat the symptom and not address the underlying cause of the fever.
Choice C is not correct because assisting the client in ambulation does not address the underlying cause of the fever.

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Correct Answer is B

Explanation

“Placenta.” The placenta is the structure that provides oxygen and nutrients to the growing fetus and removes waste products from the fetus’s blood.
Choice A is incorrect because the umbilical arteries carry deoxygenated blood and waste products from the fetus to the placenta.
Choice C is incorrect because amniotic fluid provides a cushion for the fetus and helps maintain a constant temperature in the uterus but does not provide nutrition.
Choice D is incorrect because the decidua is the lining of the uterus during pregnancy and does not provide nutrition to the fetus.

A. Encephalopathy. B. Encopresis. C. Enuresis. D. Echolalia.

Correct Answer is B

Explanation

Encopresis is the repeated passage of feces into inappropriate places such as clothing or the floor by a child who is already toilet trained.
Choice A is not correct because encephalopathy refers to a disease or disorder that affects the brain.
Choice C is not correct because enuresis refers to involuntary urination, especially by children at night.
Choice D is not correct because echolalia refers to the repetition of vocalizations made by another person.

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The nurse is monitoring a client who is 3 hours postpartum. On assessment, the nurse notes a temperature of 102.4°F. Which action should the nurse prioritize?

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The nurse is monitoring a client who is 3 hours postpartum. On assessment, the nurse notes a temperature of 102.4°F.

Which action should the nurse prioritize?