A nurse is caring for a client who is 4 hr postpartum.
The nurse finds a small amount of lochia rubra on the client's perineal pad.
The fundus is midline and firm at the umbilicus.
Which of the following actions should the nurse take?
Assist the client to ambulate.
Increase the rate of IV fluids.
Check for blood under the client's buttock.
Perform fundal massage.
The Correct Answer is C
The nurse should check for blood under the client’s buttocks.
A small amount of lochia rubra on the client’s perineal pad 4 hours postpartum is normal.
The fundus being midline and firm at the umbilicus is also a normal finding.
Choice A is incorrect because assisting the client to ambulate is not necessary at this time.
Choice B is incorrect because there is no need to increase the rate of IV fluids.
Choice D is incorrect because performing a fundal massage is not necessary since the fundus is already firm and midline.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The umbilical vein carries oxygen-rich blood to the fetus from the placenta.
The umbilical vein is an important part of fetal circulation and carries oxygenated blood from the placenta into the growing fetus.
Choice B is incorrect because the two umbilical arteries carry deoxygenated blood from the fetus to the placenta23.
Choice C is incorrect because there are not two umbilical veins, but only one12.
Choice D is incorrect because it is not the one umbilical artery that carries oxygen-rich blood to the fetus from the placenta, but rather the one umbilical vein14.
Correct Answer is C
Explanation
A complete fracture is when the bone breaks into two or more separate pieces.
This is in contrast to an incomplete fracture, where the bone is only partially broken.
A spiral fracture is a type of complete fracture that occurs when a long bone is twisted with force.
A greenstick fracture is a type of incomplete fracture that occurs when a bone bends and cracks but does not break completely.
Choice A, Spiral, is incorrect because it refers to a specific type of complete fracture that occurs when a long bone is twisted with force.
Choice B, Incomplete, is incorrect because it refers to a type of fracture where the bone is only partially broken.
Choice D, Greenstick, is incorrect because it refers to a specific type of incomplete fracture that occurs when a bone bends and cracks but does not break completely.
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