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

A CS4 who has had three prior lower transverse cesarean sections is at the highest risk for uterine rupture. The risk of uterine rupture increases with each subsequent cesarean section, and a history of three or more prior lower transverse cesarean sections is considered a significant risk factor for uterine rupture.

A. Ask the target audience what their needs and priorities are for education. B. Ask the formal leadership of a community what the learning needs are. C. Use the expertise of professional nurses who are skilled at assessing needs. D. Interview physicians to determine the highest need based on diagnoses.

Correct Answer is A

Explanation

One of the most important principles of effective health education is to involve the target audience in the planning process. By involving the target audience in the planning process, the nurse can gain a better understanding of their needs, priorities, and concerns related to health and wellness. This, in turn, can help the nurse develop education goals that are relevant, engaging, and effective at improving health outcomes.

Asking the formal leadership of a community what the learning needs are, using the expertise of professional nurses who are skilled at assessing needs, or interviewing physicians to determine the highest need based on diagnoses can all be useful strategies for gathering information about community health needs. However, none of these strategies are as effective at identifying the specific needs and priorities of the target audience as asking the target audience directly.

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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 of the following patients is most at risk for uterine rupture?

Correct Answer is C

Explanation

A nurse is developing goals for a community education program. Which of the following methods should be used?

Correct Answer is A

Explanation

Readiness for induction of labor is assessed by determining the:

A nurse is administering a magnesium sulfate infusion for a client with severe preeclampsia. The nurse knows that the goal of magnesium sulfate therapy is to:

An infant is in the NICU whose mother was addicted to opioids during pregnancy. The nurse knows that the most appropriate nursing intervention to help with the infant's hyperreflexia is:

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The nurse recognizes that a nonstress test (NST) in which two or more fetal heart rate (FHR) accelerations of 15 beats/min or more occur with fetal movement in a 20-minute period is:

A pregnant woman's amniotic membranes rupture and a prolapsed umbilical cord is found. What intervention would be the first priority?