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) .
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. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This is the correct answer. After a Plastibell circumcision, a yellow exudate, which is part of the normal healing process, will form at the surgical site within 24 hours.
Choice B rationale
The Plastibell device is not removed 4 hours after the procedure. It falls off naturally after seven to 10 days.
Choice C rationale
Making sure the newborn’s diaper is snug is not a specific instruction related to the Plastibell circumcision technique.
Choice D rationale
Notifying the provider if the end of the baby’s penis appears dark red is not a specific instruction related to the Plastibell circumcision technique.
Correct Answer is D
Explanation
Choice A rationale
Applying hydrating lotion to the newborn’s skin prior to treatment is not recommended. The goal of phototherapy is to expose the newborn’s skin to light, and applying lotion could potentially interfere with the effectiveness of the treatment.
Choice B rationale
Providing the newborn with 15 mL glucose water after each feeding is not a standard part of phototherapy treatment. The newborn should continue to receive regular feedings, but additional glucose water is not typically necessary.
Choice C rationale
Turning the newborn every 4 hours is not sufficient during phototherapy. The newborn should be repositioned frequently, ideally every 2-3 hours, to expose all areas of the skin to the light.
Choice D rationale
It is important to protect the newborn’s eyes during phototherapy to prevent damage from the light. Therefore, the newborn’s eyes should be covered with special patches whenever the lights are on.
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