A nurse is collecting data from the perineal pad of a client who is 3 days postpartum. The nurse last checked the perineal pad 1 hour ago. There is 2 cm of red lochia on the pad.
Which of the following correctly documents the nurse's finding?

Heavy lochia alba.

Heavy lochia rubra.

Moderate lochia serosa.

Scant lochia rubra.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Heavy lochia alba is an incorrect choice as lochia alba typically occurs after 10 days postpartum and is characterized by a whitish or yellowish discharge, not red.

Choice B rationale

Heavy lochia rubra is an incorrect choice because lochia rubra is characterized by bright red bleeding but heavy lochia would involve saturation of the pad within an hour, which is not the case here.

Choice C rationale

Moderate lochia serosa is incorrect because lochia serosa is typically pink or brown and occurs from approximately day 4 to day 10 postpartum, not red.

Choice D rationale

Scant lochia rubra is correct as the client is 3 days postpartum with red lochia measuring 2 cm on the pad, which indicates a small amount of bleeding consistent with scant lochia rubra.

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Correct Answer is A

Explanation

Choice A rationale

Heparin therapy increases the risk of bleeding and bruising. Notifying the provider about any unusual bruising is crucial for monitoring and managing potential complications.

Choice B rationale

Taking aspirin while on heparin is not recommended because aspirin is an antiplatelet agent that can increase the risk of bleeding, compounding the effects of heparin.

Choice C rationale

Temporary diarrhea is not a common side effect of heparin. Heparin's primary side effects are related to bleeding and thrombocytopenia, not gastrointestinal issues.

Choice D rationale

Increased urination is not a recognized side effect of heparin. Common side effects involve bleeding rather than changes in urinary patterns.

A. Gestational hypertension. B. Preeclampsia with severe features. C. Preeclampsia without severe features. D. Chronic hypertension.

Correct Answer is B

Explanation

Choice A rationale

Gestational hypertension is diagnosed when high blood pressure develops after 20 weeks of pregnancy without other symptoms of preeclampsia, such as proteinuria or end-organ dysfunction.

Choice B rationale

Preeclampsia with severe features includes high blood pressure, proteinuria, and symptoms like blurred vision and headaches. These indicate severe disease, which can endanger both the mother and the fetus if left untreated.

Choice C rationale

Preeclampsia without severe features involves high blood pressure and proteinuria but without the additional severe symptoms like blurred vision and headache.

Choice D rationale

Chronic hypertension refers to high blood pressure that was present before pregnancy or diagnosed before 20 weeks of gestation. It does not typically present with acute symptoms like blurred vision and headache that develop suddenly.

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A nurse is collecting data from the perineal pad of a client who is 3 days postpartum. The nurse last checked the perineal pad 1 hour ago. There is 2 cm of red lochia on the pad. Which of the following correctly documents the nurse's finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a new prescription for heparin for management of a postpartum deep vein thrombosis (DVT). Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

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A nurse is collecting data from the perineal pad of a client who is 3 days postpartum. The nurse last checked the perineal pad 1 hour ago. There is 2 cm of red lochia on the pad. Which of the following correctly documents the nurse's finding?

A nurse is collecting data from the perineal pad of a client who is 3 days postpartum. The nurse last checked the perineal pad 1 hour ago. There is 2 cm of red lochia on the pad.
Which of the following correctly documents the nurse's finding?