A nurse is assessing a patient who is 6 hours postpartum and has endometritis. Which of the following findings should the nurse expect?

Uterine tenderness

WBC count 9,000/mm

Scant lochia

Temperature 37.4 C (99.3 F) .

Answer and Explanation

The Correct Answer is A

Choice A rationale
Uterine tenderness is a common symptom of endometritis, which is an inflammation or irritation of the lining of the uterus.
Choice B rationale
While a high WBC count can be an indicator of infection, a count of 9,000/mm is within the normal range.
Choice C rationale

Scant lochia is not typically associated with endometritis. In fact, women with endometritis may experience heavy lochia or prolonged bleeding.
Choice D rationale
A temperature of 37.4 C (99.3 F) is within the normal range. Endometritis is often associated with fever. .

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Correct Answer is B

Explanation

Choice A rationale
Progressive sacral discomfort during contractions is a normal part of labor and does not necessarily require reassessment.
Choice B rationale
An urge to have a bowel movement during contractions could indicate that the baby’s head is descending into the birth canal. This could signal that the labor is progressing more quickly than expected, and the nurse should reassess the client.
Choice C rationale
Intense contractions lasting 45 to 60 seconds are a normal part of active labor and do not necessarily require reassessment.

Choice D rationale
A sense of excitement and warm, flushed skin are normal emotional and physiological responses to labor and do not necessarily require reassessment.

A. I will report joint pain that develops after the immunization to my provider immediately B. I should avoid breastfeeding for 2 weeks following the immunization C. I should avoid becoming pregnant for at least 1 month following the immunization D. I will receive a series of three immunizations and each one will be a month apart

Correct Answer is C

Explanation

Choice A rationale
Joint pain is not a common side effect of the rubella immunization.
Choice B rationale
Breastfeeding is not typically contraindicated after receiving the rubella immunization.
Choice C rationale
Women are advised to avoid becoming pregnant for at least one month following the rubella immunization because the vaccine contains a live virus.

Choice D rationale
The rubella immunization is not typically given as a series of three immunizations.

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A nurse is assessing a patient who is 6 hours postpartum and has endometritis. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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