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Which symptom would the nurse expect to observe in a postpartum client with a vaginal hematoma?

Pain.

Bleeding.

Warmth.

Redness.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Vaginal hematomas are usually associated with severe pain due to the accumulation of blood in the tissues.

Choice B rationale

Bleeding might be visible, but hematomas often cause internal accumulation, not external bleeding.

Choice C rationale

Warmth is not typically associated with hematomas; instead, pain and swelling are more common.

Choice D rationale

Redness may occur, but pain is the most consistent symptom.

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Correct Answer is B

Explanation

Choice A rationale

Contraction duration less than 40 seconds doesn't define tachysystole. Tachysystole focuses on frequency, not duration, of contractions over a specific time frame.

Choice B rationale

Contraction frequency of more than 5 in 10 minutes defines tachysystole. This frequency indicates excessive uterine activity, requiring intervention to prevent fetal distress.

Choice C rationale

Contraction intensity less than 80 mm Hg does not define tachysystole. Intensity relates to contraction strength, but tachysystole is about frequency exceeding the normal range.

Choice D rationale

Resting tone less than 18 mm Hg isn't part of tachysystole's definition. Tachysystole pertains to contraction frequency, not resting tone, which measures uterine relaxation between contractions.

A. The woman complains of numbness in the toes and heel of one foot. B. The woman has cramping pain in a calf that is relieved when the foot is dorsiflexed. C. The veins in the ankle of one of the woman's legs are spider-like and purple. D. The calf of one of the woman's legs is swollen, red, and warm to touch.

Correct Answer is D

Explanation

Choice A rationale

Numbness in the toes and heel might suggest nerve involvement but is not a typical sign of deep vein thrombosis (DVT), which involves the veins, not nerves.

Choice B rationale

Pain relieved by dorsiflexion (positive Homan's sign) is not reliable for diagnosing DVT. This symptom is outdated and not considered a definitive sign.

Choice C rationale

Spider-like and purple veins suggest superficial varicose veins, not deep vein thrombosis, which affects deeper veins and presents differently.

Choice D rationale

Swelling, redness, and warmth in the calf are classic signs of DVT due to the inflammation and obstruction of deep veins. These symptoms should prompt immediate medical evaluation and intervention. .

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Which symptom would the nurse expect to observe in a postpartum client with a vaginal hematoma?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Included in the definition of tachysystole is:

Correct Answer is B

Explanation

In which of the following situations should a nurse report a possible deep vein thrombosis (DVT)?

Correct Answer is D

Explanation

A client is scheduled for an external version.The nurse would expect to prepare which of the following medications to be administered prior to the procedure?

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