A nurse is assessing a client who is 3 days postpartum. Which of the following findings should the nurse report to the provider?
BP 120/70 mm Hg
Cool clammy skin
Moderate lochia serosa
Heart rate 89/min
The Correct Answer is B
Rationale:
A. A blood pressure of 120/70 mm Hg is within the normal range for a postpartum client and does not require immediate reporting to the provider.
B. Cool clammy skin may indicate hypoperfusion or inadequate blood flow, which could be a sign of hemorrhage or other circulatory issues. This finding should be reported promptly for further evaluation and intervention.
C. Moderate lochia serosa is a normal finding in the early postpartum period and does not typically require immediate reporting.
D. A heart rate of 89/min is within the normal range for a postpartum client and does not require immediate reporting to the provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. A temperature of 37.4°C (99.3°F) may be within the normal range, but it can also indicate a fever, which is common with endometritis.
B. A WBC count of 9,000/mm3 is within the normal range, but it may be elevated in response to infection such as endometritis.
C. Scant lochia is not typically associated with endometritis; instead, clients with endometritis may have increased or foul-smelling lochia.
D. Uterine tenderness is a common finding in clients with endometritis, as the infection causes inflammation and discomfort in the uterine lining.
Correct Answer is D
Explanation
Rationale:
A. Thick, white vaginal discharge is not characteristic of trichomoniasis. Trichomoniasis typically presents with a frothy, yellow-green, or grayish vaginal discharge.
B. Vulva lesions are not commonly associated with trichomoniasis. The primary symptom is vaginal discharge.
C. While urinary frequency can occur in some cases of trichomoniasis due to irritation of the urinary tract, it is not as specific a finding as the characteristic malodorous discharge.
D. Malodorous discharge is a hallmark symptom of trichomoniasis. The discharge is often described as having a foul or fishy odor and may be accompanied by itching and irritation of the genital area.
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