When inserting a Foley catheter for a patient with a postpartum hemorrhage who is allergic to betadine, what should the nurse use?

Chlorhexidine wipes.

Betadine wipes if chlorhexidine is unavailable.

Sterile water wipes.

Alcohol wipes.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Chlorhexidine is a broad-spectrum antiseptic effective against gram-positive and gram-negative bacteria. It is safe for patients allergic to betadine and reduces infection risks during catheter insertion.

Choice B rationale

Betadine, containing povidone-iodine, is contraindicated in patients with allergies to iodine. Using it could trigger allergic reactions, including anaphylaxis, compromising patient safety.

Choice C rationale

Sterile water lacks antiseptic properties and does not provide necessary antimicrobial activity to minimize infection risks, making it unsuitable for catheter insertion.

Choice D rationale

Alcohol wipes can cause tissue irritation and discomfort during catheter insertion. They are less effective against bacterial spores, reducing their efficacy for preventing infections in this context.

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Correct Answer is B

Explanation

Choice A rationale

Denying parents the ability to hold their infant can interfere with bonding. Physiologically stable infants on oxygen benefit from being held, as it supports emotional well-being and parent-infant attachment without compromising oxygen delivery.

Choice B rationale

Holding a physiologically stable infant during gavage feeding fosters bonding, reduces parental anxiety, and stabilizes the infant's physiological parameters, as tactile stimulation aids neurodevelopment without causing stress to the infant's cardiorespiratory system.

Choice C rationale

Handholding alone is insufficient to support bonding and emotional connection. Physiologically stable infants benefit from full body contact during feeding to promote warmth, comfort, and the release of calming hormones like oxytocin.

Choice D rationale

Physiologically stable infants do not experience increased stress during feeding when held. Holding provides comfort and reduces stress, improving the feeding experience and supporting parent-infant bonding and attachment.

A. One who births in the lithotomy position. B. One who receives uterine massage postpartum. C. One whose third stage lasts less than 10 minutes. D. One who gives birth to an infant weighing 9 pounds (4310 grams).

Correct Answer is D

Explanation

Choice A rationale

While lithotomy positioning can increase pressure on perineal tissues, it does not directly correlate with an elevated risk of postpartum hemorrhage. Other factors have stronger evidence for causing hemorrhage.

Choice B rationale

Uterine massage is a preventative measure against postpartum hemorrhage. It stimulates uterine contractions, promoting tone, and reducing atony, which is a primary cause of excessive postpartum bleeding.

Choice C rationale

A third stage lasting less than 10 minutes is within normal limits, reducing the likelihood of placental retention and subsequent bleeding. Prolonged stages, rather than shortened ones, increase risk.

Choice D rationale

Macrosomia, defined as infant birth weight over 4000 grams, increases uterine atony risk due to overdistension, impairing effective contractions post-delivery. Overdistension complicates placental separation, raising postpartum hemorrhage risk.

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When inserting a Foley catheter for a patient with a postpartum hemorrhage who is allergic to betadine, what should the nurse use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

On day 3 of life, a newborn continues to require 100% oxygen by nasal cannula. The parents ask whether they can hold their infant during his next gavage feeding. Given that this newborn is physiologically stable, what response would the nurse give?

Correct Answer is B

Explanation

Which patient would be at the highest risk for postpartum hemorrhage?

Correct Answer is D

Explanation

The nurse is educating her G5P5 postpartum patient at discharge after experiencing a postpartum hemorrhage post-delivery. Which education topics are appropriate for this patient?

The nurse is making a home visit three weeks postpartum. The nurse suspects the client is experiencing postpartum depression when she makes which of the following statements?

A 42-week gestation baby has been admitted to the neonatal intensive care unit. At delivery, thick green amniotic fluid was noted. Which of the following actions by the nurse is most critical at this time?

The perinatal nurse is caring for a woman in the immediate postbirth period. Assessment reveals that the woman is experiencing profuse bleeding. The most likely etiology for the bleeding is:

When a woman is diagnosed with postpartum depression (PPD) with psychotic features, what is the nurse’s primary concern in planning the client’s care?

The nurse caring for the postpartum client who has developed thrombophlebitis is providing instructions in the management of this condition. Which client statement indicates the need for further instruction?

A patient, one day postpartum, is being monitored carefully after a significant postpartum hemorrhage. Which of the following should the nurse report to the obstetrician?

Medications used to manage postpartum hemorrhage (PPH) include: (Select all that apply)