Try Naxlex NCLEX-RN (Free-Trial)

A nurse is caring for a mother who delivered vaginally 2 hours ago.
Hemoglobin: 9 g/dL (11 to 14 g/dL). Hematocrit: 30% (36 to 43%). Platelets: 220,000/mm³ (150,000 to 400,000/mm³). WBC count: 12,000/mm³ (4,000 to 15,000/mm³). Temperature: 38.3°C (100.9°F). Select the 4 findings the nurse should report to the provider.

Respiratory assessment.

Hemoglobin level.

Heart rate.

Constant trickle of blood at the vagina.

Answer and Explanation

Correct Answer : B,D

Choice A rationale

Respiratory assessment is important but not immediately concerning without specific abnormal findings.

Choice B rationale

Hemoglobin level of 9 g/dL is low and could indicate postpartum hemorrhage or anemia, warranting attention.

Choice C rationale

Heart rate abnormalities would be significant but are not provided in the data given.

Choice D rationale

Constant trickle of blood at the vagina suggests ongoing bleeding which could indicate a postpartum hemorrhage, requiring prompt intervention.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale

Placing the newborn in a radiant warmer is appropriate for managing hypothermia but does not directly address the signs of diaphoresis, jitteriness, and lethargy, which are indicative of hypoglycemia.

Choice B rationale

Monitoring the newborn's blood pressure is not the primary action needed for signs of hypoglycemia. The immediate need is to check blood glucose levels and address any hypoglycemia.

Choice C rationale

Initiating phototherapy is a treatment for hyperbilirubinemia (jaundice) and is not related to the signs of diaphoresis, jitteriness, and lethargy seen in hypoglycemia.

Choice D rationale

Obtaining blood glucose by heel stick is the correct action as the signs of diaphoresis, jitteriness, and lethargy are indicative of hypoglycemia. Checking blood glucose levels will help in diagnosing and managing the condition.

A. Docusate sodium 100 mg PO. B. Ibuprofen 600 mg PO. C. Carboprost 0.2 mg PO. D. Ferrous sulfate 325 mg PO.

Correct Answer is C

Explanation

Choice A rationale

Docusate sodium is a stool softener and is not contraindicated for a postpartum client with a 4th degree laceration.

Choice B rationale

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can be safely used postpartum for pain management.

Choice C rationale

Carboprost is a medication used to control postpartum hemorrhage but is contraindicated in clients with asthma and with other risk factors due to its side effects, including severe diarrhea.

Choice D rationale

Ferrous sulfate is used to treat anemia and is not contraindicated in a postpartum client with a 4th degree laceration.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn who exhibits signs of diaphoresis, jitteriness, and lethargy.Which of the following actions should the nurse take?

Correct Answer is D

Explanation

The nurse develops a teaching plan for a 24-hour vaginal postpartum client with a firm fundus, scant lochia, and a 4th degree laceration.Her hemoglobin level is 10.0 gm/dl, and hematocrit is 30%. The mother is breastfeeding.Which medication would the nurse expect to be contraindicated?

Correct Answer is C

Explanation

The nurse is teaching the patient about breastfeeding.The nurse knows the following: 1. The hormone responsible for the let-down reflex is:

A nurse is caring for a client who is considering several methods of contraception.Which method should the nurse identify as being most reliable?

The nurse is assisting the health care provider (HCP) in examining an infant with suspected congenital hip dysplasia.What sign should the nurse expect to find during the assessment?

A nurse is caring for a mother who delivered vaginally 2 hr ago.Axillary temperature 36.6° C (98.0° F). Heart rate 110/min.Respiratory rate 24/min.Oxygen saturation 94%. Select the 4 findings the nurse should report to the provider.

The infant should have six wet diapers daily.

A 25-year-old patient is considering receiving Depo-Provera 150 mg IM. Which points must the nurse include in her teaching related to this medication?