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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

Prior amniotic fluid leakage is not a required criterion for amniotomy. The main concern is cervical readiness and fetal head position, not previous leakage.

Choice B rationale

The fetal head engaged in the maternal pelvis ensures proper pressure and position for safe amniotomy. Engagement reduces the risk of umbilical cord prolapse and injury.

Choice C rationale

Certification of the nurse for amniotomy is not a standard criterion. The procedure is performed by qualified professionals, but certification isn't a prerequisite for the procedure to be scheduled.

Choice D rationale

Ultrasound to check the umbilical cord's position isn't a standard pre-amniotomy criterion. While it can be useful, the primary concern is the fetal head engagement and cervical readiness.

A. Contraction duration of less than 40 seconds. B. Contraction frequency of greater than 5 in 10 minutes. C. Contraction intensity of less than 80 mm Hg. D. Resting tone of less than 18 mm Hg. .

Correct Answer is B

Explanation

Choice A rationale

Contraction duration less than 40 seconds doesn't define tachysystole. Tachysystole focuses on excessive frequency of contractions rather than their duration.

Choice B rationale

Contraction frequency of more than 5 in 10 minutes defines tachysystole. This condition indicates too frequent uterine activity, which can compromise fetal oxygenation.

Choice C rationale

Contraction intensity less than 80 mm Hg doesn't define tachysystole. Tachysystole is characterized by the number of contractions, not their intensity.

Choice D rationale

Resting tone less than 18 mm Hg is not related to the definition of tachysystole. Tachysystole concerns contraction frequency, not the resting tone of the uterus between contractions. .

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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

A patient who is at 39 weeks' gestation is scheduled for amniotomy.The nurse is aware that which criteria must be met before the procedure?

Correct Answer is B

Explanation

Included in the definition of tachysystole is:

Correct Answer is B

Explanation

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

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