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Ati Maternal Newborn Quiz
Total Questions : 27
Showing 10 questions, Sign in for morePatient is G6P5, currently 39 weeks pregnant with twins. AFI is 30cm (polyhydraminos). She presents to the OB ED complaining of pain related to contractions, contractions noted to be 5 minutes apart. Membranes are intact. Vaginal exam is 5/100/0. Patient is being admitted to the labor floor.
Large uterine fibroids
Preterm labor
Chlamydia positive
Peripheral blood draw for STI Panel
Notify Healthcare provider
Collect blood cultures
Assess blood pressure every 15 minutes
Obtain order for type & screen and crossmatch blood grouping
The nurse should recognize that the client is at risk of
Explanation
The nurse should recognize that the client is at risk of postpartum hemorrhage due to polyhydramnios.
Risk:
Postpartum Hemorrhage (PPH): The client has polyhydramnios and multiple gestation, which cause uterine overdistension. Overdistension increases the risk of uterine atony postpartum, a leading cause of PPH. Other contributing factors are the large uterine fibroids and a history of preterm labor.
Probable Cause:
Polyhydramnios: AFI of 30 cm indicates polyhydramnios, which is excess amniotic fluid.
Multiple gestation (twins) is a common cause of polyhydramnios. Polyhydramnios increases the risk of preterm labor, cord prolapse, and PPH.
On the fourth postpartum day, a client experiences breast engorgement. To relieve her discomfort, which of these nursing interventions is most effective to meet the expected outcome?
When a woman is diagnosed with postpartum depression, what is one of the main concerns?
A nurse is caring for a client who is 1 hr postpartum following a vaginal birth of a newborn weighing 9 lb 6 oz. (4252 g). The nurse should recognize that this client is at risk for which postpartum complication?
A client who is breastfeeding tells her nurse that she is concerned that her baby is not getting enough food since her milk has not come in. The best response from the nurse is which statement.
The nurse is assessing a postpartum patient who had an uncomplicated vaginal delivery one hour ago. Which assessment finding requires immediate intervention?
When discussing the need to support the lower uterine segment, which statement by the new nurse indicates understanding.
When discussing the need to support the lower uterine segment, which statement by the new nurse indicates understanding.
A client gave birth 2 days ago and is preparing for discharge. The nurse assesses respirations to be 26 breaths/min and labored, and the client complains of chest pain & short of breath ambulating from the bathroom this morning. Lung sounds are clear. The nurse alerts the primary care provider and the nurse- midwife to her concern that the client may be experiencing:
Which of the following clients is most likely to complain of afterbirth pains during her postpartum period?
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