On examining a woman who gave birth 5 hours ago, the nurse finds that the woman has completely saturated a perineal pad within 15 minutes. The nurse's first action is to:

massage the woman's fundus.

Begin an intravenous (IV) infusion of Ringer's lactate solution.

Call the woman's primary health care provider.

Assess the woman's vital signs.

Answer and Explanation

The Correct Answer is A

The nurse's first action should be to massage the woman's fundus. A completely saturated perineal pad within 15 minutes after giving birth indicates excessive bleeding, which is also known as postpartum hemorrhage (PPH). Massaging the uterus (fundus) can help it to contract, reduce bleeding, and prevent further blood loss. Once the fundus has been massaged, the nurse should assess the woman's vital signs and continue to monitor her for signs of continued bleeding. If bleeding persists despite massage, the nurse should begin an intravenous (IV) infusion of Ringer's lactate solution and call the woman's primary healthcare provider.

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Correct Answer is C

Explanation

Infants of diabetic mothers (IDM) are at risk of hypoglycemia because they have been exposed to high levels of glucose in utero. The fetus responds to this high glucose level by producing high levels of insulin to regulate the glucose level. After delivery, the glucose supply from the mother is cut off and the infant's insulin levels remain high, leading to hypoglycemia.

Additionally, the infant's ability to produce glucose is immature and may not be sufficient to maintain normal blood glucose levels, especially if the infant is premature or small for gestational age. Therefore, IDM requires close monitoring of their blood glucose levels to prevent and treat hypoglycemia.

A. Preterm: Before 38 to 40 weeks of gestation if the infant is SGA post-term, beyond 40 to 42 weeks gestation if the infant is LGA B. Preterm: Before 37 weeks of gestation and post-term beyond 42 weeks of gestation; no matter the size for gestational age at birth C. Postterm: After 40 weeks of gestation if the infant is large for gestational age (LGA): beyond 42 weeks if the infant is AGA D. Preterm: Before 34 weeks of gestation if the infant is appropriate for gestational age (AGA); before 57 weeks if the infant is small for gestational age (SCA)

Correct Answer is B

Explanation

The most accurate definition of preterm and post-term infants is based on gestational age at birth. Preterm infants are those born before 37 completed weeks of gestation, and post-term infants are those born after 42 completed weeks of gestation, regardless of their size for gestational age at birth.

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On examining a woman who gave birth 5 hours ago, the nurse finds that the woman has completely saturated a perineal pad within 15 minutes. The nurse's first action is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?

Correct Answer is C

Explanation

For clinical purposes, the most accurate definition of preterm and post-term infants is defined as what?

Correct Answer is B

Explanation

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