A nurse is planning care for a client who is experiencing moderate vaginal bleeding due to a placental abruption. Which of the following interventions should the nurse include in the plan?

Check cervical dilation every 2 hr.

Initiate an IV with an 18-gauge catheter.

Monitor FHR hourly.

Obtain vital signs every 4 hr.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Frequent cervical examinations may increase the risk of introducing infection or causing additional bleeding. Cervical examinations are not a priority in managing placental abruption.

Choice B rationale:

Placental abruption can lead to significant blood loss, and the client may require intravenous fluids and blood products to maintain hemodynamic stability. Initiating an IV with an 18-gauge catheter allows for rapid administration of fluids and blood products if needed.

Choice C rationale:

Monitoring fetal heart rate hourly is important, but addressing the mother's hemodynamic stability with IV fluids takes priority.

Choice D rationale:

Vital signs should be obtained more frequently than every 4 hours due to the risk of ongoing blood loss.

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Correct Answer is {"xRanges":[299.765625,329.765625],"yRanges":[366.609375,396.609375]}

Explanation

Choice A rationale: This is incorrect because at about one hour after child birth the fundus should be around the belly button (where it was at 20 weeks of gestation).

Choice B rationale: This is incorrect because at about one hour after child birth the fundus should be around the belly button (where it was at 20 weeks of gestation). It then decreases steadily at approximately 1 cm every 24 hours.

Choice C rationale: One-week post-partum, the fundal height should be about 7 cm below the umbilicus (belly button). This means that the uterus is still larger than normal, but it is contracting and healing. The fundal height may vary depending on factors such as the size and position of the baby, the amount of amniotic fluid, and the mother's body type.

A. Straw-colored urine B. Hypotension C. Weight gain D. Hyponatremia

Correct Answer is C

Explanation

Choice A rationale:

Urine in acute glomerulonephritis often appears tea-colored or smoky due to hematuria.

Choice B rationale:

Hypertension is common in acute glomerulonephritis.

Choice C rationale:

Fluid retention and subsequent weight gain are common due to decreased kidney function.

Choice D rationale:

Hyponatremia is not typically associated with acute glomerulonephritis.

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A nurse is planning care for a client who is experiencing moderate vaginal bleeding due to a placental abruption. Which of the following interventions should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is 1 week postpartum. Which of the following locations should the nurse palpate to assess the client's fundus? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

Correct Answer is {"xRanges":[299.765625,329.765625],"yRanges":[366.609375,396.609375]}

Explanation

A nurse is assessing a client who has acute glomerulonephritis. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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