A client who delivered vaginally 18-hours ago develops a slight fever. The delivery record shows spontaneous rupture of membranes (SROM) for 36 hours prior to delivery and labor lasting 24 hours. An epidural was placed during labor, and the client experienced a third-degree perineal laceration.

The practical nurse (PN) should recognize which information poses the greatest risk for developing postpartum endometritis?

Epidural anesthesia.

SROM for 36 hours.

Third-degree perineal laceration.

Labor lasting for 24 hours.

Answer and Explanation

The Correct Answer is B

The information that poses the greatest risk for developing postpartum endometritis in this situation is that the client experienced spontaneous rupture of membranes (SROM) for 36 hours prior to delivery. SROM for an extended period of time increases the risk of infection, including postpartum endometritis, which is an infection of the uterus. The practical nurse (PN) should recognize this risk factor and monitor the client closely for signs of infection. The other information listed may also be important to consider, but SROM for 36 hours poses the greatest risk for developing postpartum endometritis in this situation.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

Acute leukemia can cause thrombocytopenia, which is a decrease in the number of platelets in the blood. Platelets are essential for blood clotting, and a low platelet count can result in heavy menstrual bleeding. Therefore, reviewing the client's platelet count is the priority in response to the client's statement. The other laboratory data may also be important to assess, but platelet count is the most relevant in this situation.

A. Help the child achieve maximum potential. B. Meet the child's rehabilitation needs. C. Help prevent further disability. D. Promote the child's social acceptability.

Correct Answer is A

Explanation

The primary goal of treatment for a child with a developmental disability is to help the child reach their full potential, despite their disability. This involves identifying and addressing any barriers to the child's development and providing them with the necessary support and interventions to promote their growth and development. It is important to focus on the child's abilities and strengths rather than their limitations.

Option B is incorrect as it focuses on rehabilitation, which is not the primary goal of treatment for a child with a developmental disability.

Option C is incorrect as it refers to preventing further disability, which may not always be possible depending on the cause of the disability.

Option D is incorrect as it focuses on social acceptability, which is not the primary goal of treatment for a child with a developmental disability.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An adolescent female client with acute leukemia reports that she is experiencing an unusually heavy menstrual ﬂow. Which laboratory data should the practical nurse (PN) review in response to this statement?

Correct Answer is B

Explanation

The practical nurse (PN) is caring for a 4-year-old girl with a moderate developmental disability. Which is the primary goal of treatment for a child with a developmental disability?

Correct Answer is A

Explanation

The mother of a child who is hospitalized with croup and is in a mist tent brings the child's favorite stuﬀed animal to the hospital. Which action should the practical nurse (PN) take?

The parents of a child with acute glomerulonephritis are describing to the practical nurse (PN) what originally motivated them to seek medical care. Which sign did the child most likely exhibit?

Following a hysterectomy, an older adult's complete metabolic panel findings indicate that her magnesium level is low. To help increase the client's magnesium level, the PN should suggest that the client increase her intake of which food?

The practical nurse (PN) is assisting with the admission of a 12-month-old child with a history of frequent colds and growth failure. Testing is being planned for a possible diagnosis of cystic fibrosis (CF). Which information is most important for the PN to obtain?

A mother calls the clinic to report that her child has just swallowed "poison" and is vomiting. In preparing to instruct the mother about the necessary action to take, which substance should the practical nurse (PN) consider to be the least traumatic to the esophagus when the child vomits?

A normal newborn is admited to the nursery and receives an injection of Phytonadione. The father is watching the nurse administer the injection and asks the practical nurse (PN), "Will my baby get another injection before we can go home?" Which response is best for the PN to provide?

A 3-week-old infant is admited to the pediatric unit with vomiting and dehydration. The mother describes the infant as having projectile vomiting after eating. She also tells the practical nurse (PN) that the baby is always hungry. Which finding warrants immediate intervention by the PN?