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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
When assessing potential environmental health issues in a district, the public health nurse would consider a range of factors that may impact the health and well-being of the community. These factors may include the built environment (e.g. housing, transportation, urban planning), workplace hazards, food safety, and a range of other environmental exposures that could potentially harm human health.
By considering all of these factors, the public health nurse can gain a more comprehensive understanding of potential environmental health issues in the district and develop appropriate strategies for addressing these issues to improve the health and well-being of the community.
Correct Answer is C
Explanation
Both genes of a pair must be abnormal for the disorder to be expressed. In autosomal recessive inheritance, the gene for the disorder is located on an autosome (any chromosome other than a sex chromosome) and a person must inherit two copies of the abnormal gene (one from each parent) in order for the disorder to be expressed. If a person inherits only one copy of the abnormal gene, they are a carrier of the disorder but do not typically show symptoms.
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