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A 25-year-old gravida 2, para 2-0-0-2 gave birth 4 hours ago to a 9-pound, 7-ounce boy after augmentation of labor with Pitocin. She puts on her call light and asks for her nurse right away, stating, "I'm bleeding a lot." What is the most likely cause of postpartum hemorrhage in this woman?
Artificial rupture of membranes in a laboring client reveals meconium-stained fluid. What is the nurse's priority action?
Discharge instruction, or teaching the woman what she needs to know to care for herself and her newborn, officially begins:
A 26-year-old pregnant woman, gravida 2, para 1-0-0-1, is 28 weeks pregnant when she experiences bright red, painless vaginal bleeding. On arrival at the hospital, what diagnostic procedure would be expected first?
A nurse is providing discharge teaching for a nonlactating client. Which of the following instructions should the nurse include in the teaching?
During a vaginal assessment on a patient who is 8 weeks pregnant, you note a bluish-purple coloration of the mucous membranes of the cervix, vagina, and vulva. You would document this finding as which of the following?
The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds 14 ounces, has a head circumference of 13 inches, and a chest circumference of 10 inches. Based on these physical findings, assessment for which condition has the highest priority?
A nurse is assessing a postpartum client who is exhibiting tearfulness, insomnia, lack of appetite, and a feeling of letdown. The nurse knows these findings are characteristic of which condition?
The nurse who performs vaginal examinations to assess a woman's progress in labor should:
A client at 28 weeks gestation is admitted to the obstetrical unit following her involvement in a motor vehicle collision. While stabilizing the patient, the nurse applies the fetal monitor and notes fetal tachycardia. Which action should the nurse take?
Following a precipitous labor, a postpartum client has a continuous trickling of bright red blood from her vagina. Her uterus is firm and her vital signs are within normal limits. The nurse determines that this sign may indicate which condition?
A nurse concludes that the father of an infant is not showing positive signs of parent-infant bonding and appears very anxious and nervous when the infant's mother asks him to bring her the infant. Which of the following is an appropriate nursing intervention to promote father-infant bonding?
Parents have been asked by the neonatologist to provide breast milk for their newborn son, who was born prematurely at 32 weeks of gestation. The nurse who instructs them about pumping, storing, and transporting the milk needs to assess their knowledge of lactation. Which statement is valid?
Which method of contraception offers protection against sexually transmitted infections (STIs)?
A nurse is reviewing the serum laboratory data of a client who has an acute exacerbation of Crohn's disease. Which of the following laboratory tests should the nurse expect to be elevated? (Select all that apply.)
A nurse is completing postpartum discharge teaching for a client who had no immunity to varicella and was given the varicella vaccine before discharge. Which statement by the client indicates understanding of the teaching?
A client who is at 8 weeks of gestation tells the nurse that she isn't sure she is happy about being pregnant. Which of the following is an appropriate response by the nurse to the client's statement?
A nurse is conducting a home visit for a client who is 2 weeks postpartum and breastfeeding. The client reports breast engorgement. Which of the following recommendations should the nurse make?
With shortened hospital stays, new mothers are often discharged before they begin to experience symptoms of the baby blues or postpartum depression. As part of the discharge teaching, the nurse can prepare the mother for this adjustment to her new role by instructing her regarding self-care activities to help prevent postpartum depression. The most accurate statement related to these activities is to instruct the mother to:
To provide adequate postpartum care, the nurse should be aware that postpartum depression (PPD) with psychotic features: