The nurse instructs the mother that the normal amount of lochia may vary but should never exceed the need for:Ĩ. A nurse in a PP unit is instructing a mother regarding lochia and the amount of expected lochia drainage. Which of the following nursing actions is most appropriate?ħ. The nurse examines the clots and notes that they are larger than 1 cm. When performing a PP assessment on a client, the nurse notes the presence of clots in the lochia. The nurse determines that this assessment finding is:ģ.Indicates the need for increasing oral fluidsĤ.Indicates the need for increasing ambulationĦ. The nurse notes that the lochia is red and has a foul-smelling odor. The nurse is assessing the lochia on a 1 day PP patient. Massage the fundus gently before determining the level of the fundus.ĥ. Ask the mother to urinate and empty her bladderĤ. Ask the client to lie flat on her back with the knees and legs flat and straight.ģ. The initial nursing action in performing this assessment is which of the following?Ģ. A nurse is preparing to perform a fundal assessment on a postpartum client. Which of the following nursing actions would be most appropriate?ġ.Obtain hemoglobin and hematocrit levelsĢ.Instruct the mother to request help when getting out of bedĤ.Inform the nursery room nurse to avoid bringing the newborn infant to the mother until the feelings of light-headedness and dizziness have subsided.Ĥ. The client complains to the nurse of feelings of faintness and dizziness. The nurse is assessing a client who is 6 hours PP after delivering a full-term healthy infant. Increase hydration by encouraging oral fluidsģ. Which of the following actions would be most appropriate?Ĥ. The nurse notes that the mother's temperature is 100.2*F. A postpartum nurse is taking the vital signs of a woman who delivered a healthy newborn infant 4 hours ago. Every 5 minutes for the first 30 minutes and then every hour for the next 4 hours.Ģ. Every hour for the first 2 hours and then every 4 hoursĤ. ![]() Every 15 minutes during the first hour and then every 30 minutes for the next two hours.ģ. ![]() Every 30 minutes during the first hour and then every hour for the next two hours.Ģ. In the immediate postpartum period the nurse plans to take the woman's vital signs:ġ. A postpartum nurse is preparing to care for a woman who has just delivered a healthy newborn infant.
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