Chapter 28 part 1

The process by which the reproductive organs return to the nonpregnant size and function is termed what?

• Evolution

• Involution

• Subvolution

• Progression

A postpartum client is diagnosed with cystitis .The nurse plans for which priority nursing intervention in the care of the client?

• Providing Sitz baths

• Encouraging fluid intake

• Placing ice on the perineum

• Monitoring hemoglobin and hematocrit levels.

A second-day postpartum client with diabetes mellitus has scant lochia with a foul odor and a temperature of 101.6 degrees F. The physician suspects infection and writes orders to treat the client. Which of the following orders written by the physician would the nurse complete first?

• Obtain culture and sensitivity of lochia and urine

• Administer Ceftriaxone (Rocephin)

• Check the client's temperature

• Increase the intake of oral fluids.

A nurse assigned to care for a postpartum client plans to promote parental-infant bonding by encouraging the parents to:

• Use a low-pitched voice to speak to the infant

• Allow the nursing staff to assume the infant care during hospitalization so they may rest

• Hold and cuddle the infant closely

• Allow the infant to sleep in the parental bed between the parents

It has been 12 hours since the client's delivery of a newborn. The nurse assesses the client for the process of involution and documents that it is progressing normally when palpation of the client's fundus is noted at which level?

• At the umbilicus

• One fingerbreadth below the umbilicus

• Two fingerbreadth above the umbilicus

• Three fingerbreadth above the umbilicus

A nurse is monitoring a client in the immediate postpartum period for signs of hemorrhage. Which of the following signs, if noted, would be an early sign of excessive blood loss?

• A temperature of 100.4 F

• A blood pressure change from 130/88 to 124/80mmHg

• An increase in the pulse rate from 88 to 102

• An increase in the RR from 18 to 22 breaths/min

A nurse is monitoring the amount of lochia drainage in a client who is 2 hours postpartum and notes that the client has saturated a perineal pad in 1 hour. The nurse reports the amount of lochial flow as:

• Scant

• Light

• Heavy

• Excessive

A nurse is preparing to perform a fundal assessment on a postpartum client. The initial nursing action in performing this assessment is which of the following?

• Ask the client to turn on her side

• Ask the client to lie flat on her back with the knees and legs flat and straight

• Ask the mother to urinate and empty her bladder

• Massage the fundus gently before determining the level of the fundus.

A nurse in a PP unit is instructing a mother regarding lochia and the amount of expected lochia drainage. The nurse instructs the mother that the normal amount of lochia may vary but should never exceed the need for:

• 1 peripad per day

• 2 peripad per day

• 3 peripad per day

• 8 peripad per day

A PP nurse is providing instructions to a woman after delivery of a healthy newborn infant. The nurse instructs the mother that she should expect normal bowel elimination to return:

• One the day of the delivery

• 3 days PP

• 7 days PP

• within 2 weeks PP