A nurse is caring for a postpartum client who reports heavy vaginal bleeding and passing large clots since delivery 2 days ago.

Which of the following actions should the nurse take first?

Assess vital signs

Palpate fundus

dminister oxytocin as prescribed.

Check perineal pad.

Answer and Explanation

The Correct Answer is B

The correct answer is choice B. Palpate fundus. The nurse should first assess the tone of the uterus by palpating the fundus, as uterine atony is the most common cause of postpartum hemorrhage.

If the uterus is boggy or soft, the nurse should massage it gently until it becomes firm and contracts.

This will help control the bleeding from the placental site.

Choice A is wrong because assessing vital signs is not the first priority in this situation. Vital signs may not reflect the severity of blood loss until late in the process of hemorrhage.

The nurse should monitor vital signs after ensuring that the uterus is contracted.

Choice C is wrong because administering oxytocin as prescribed is not the first action the nurse should take.

Oxytocin is a medication that stimulates uterine contractions and reduces bleeding, but it should be given

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Correct Answer is A

Explanation

Naloxone (Narcan) is a specific opiate antagonist that can reverse respiratory depression in newborn infants that may be due to transplacentally acquired opiates.It can be given intravenously, intramuscularly, intraosseously or subcutaneously.The recommended dose is 100 microgram/kg.

Choice B is wrong because nalbuphine (Nubain) is a mixed opiate agonist-antagonist that can cause respiratory depression and withdrawal symptoms in opioid-dependent mothers and infants.

Choice C is wrong because butorphanol (Stadol) is another mixed opiate agonist-antagonist that can have similar effects as nalbuphine.

Choice D is wrong because fentanyl (Sublimaze) is a synthetic opioid that can cause respiratory depression and sedation in both mothers and infants.

Normal ranges for respiratory rate in newborn infants are 30 to 60 breaths per minute.

Normal ranges for oxygen saturation in newborn infants are 90% to 100%.

A. Calling infant by nam B. Exploration of newborn head-to-toe C. In face position D. Avoiding eye contact with newborn E. Holding newborn close to chest

Correct Answer is ["A","B","C"]

Explanation

The correct answer is choices A, B and C.These are three signs of positive bonding between parents and newborn.

Calling infant by name shows recognition and affection.

Exploration of newborn head-to-toe shows curiosity and interest.

In face position shows eye contact and communication.

Choice D is wrong because avoiding eye contact with newborn is a sign of detachment or depression.Choice E is wrong because holding newborn close to chest may prevent eye contact and facial expressions.

Positive bonding is essential for a baby’s healthy development and attachment.

It makes parents want to shower their baby with love and care, and it makes babies feel secure and confident.Bonding can happen at any time, but it usually starts right after birth or adoption.

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A nurse is caring for a postpartum client who reports heavy vaginal bleeding and passing large clots since delivery 2 days ago. Which of the following actions should the nurse take first?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who received meperidine (Demerol) IV for pain relief during labor 2 hours ago and is now ready to deliver vaginally. Which of the following medications should the nurse have available to reverse respiratory depression in the newborn?

Correct Answer is A

Explanation

(select all that apply, from search results) What are three signs of positive bonding between parents and newborn?

Correct Answer is ["A","B","C"]

Explanation

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entanyl (Sublimaze) is a synthetic opioid that can cause respiratory depression and sedation in both mothers and infants. Normal ranges for respiratory rate in newborn infants are 30 to 60 breaths per minute. Normal ranges for oxygen saturation in newborn infants are 90% to 100%.

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A nurse is assessing a client who delivered an infant vaginally 2 days ago and notes that the fundus is firm, midline, and at the level of the umbilicus, lochia rubra is moderate, and there are no clots present in the lochia flow. Which of the following actions should the nurse take?

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A nurse is caring for a postpartum client who reports heavy vaginal bleeding and passing large clots since delivery 2 days ago.

Which of the following actions should the nurse take first?