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 B

Explanation

Cervidil (dinoprostone) is a medication used to ripen the cervix in preparation for labor induction in women who are at or near term.

Cervidil contains a synthetic form of prostaglandin E2, which helps to soften and thin the cervix, making it easier to dilate and efface during labor. The medication is usually administered vaginally, in the form of a small, flat, rectangular-shaped insert that is placed near the cervix.

The medication is released slowly over time, helping to ripen the cervix gradually.

Cervidil is not used to stimulate the amniotic membranes to rupture, enhance uteroplacental perfusion in an aging placenta, or increase amniotic fluid volume.

A. Offer the infant a pacifier with a drop of mom's breast milk. B. Tightly swaddle the infant C. Complete the Finnegan score. D. Place the infant under a radiant warmer.

Correct Answer is C

Explanation

This tool helps in assessing the severity of withdrawal symptoms in infants who were exposed to opioids during pregnancy. Based on the Finnegan score, the nurse can implement appropriate interventions to manage the symptoms and prevent complications. While offering the infant a pacifier with a drop of mom's breast milk or tightly swaddling the infant may be helpful for soothing the infant, these interventions may not directly address the underlying hyperreflexia associated with opioid withdrawal. Placing the infant under a radiant warmer is not indicated for managing hyperreflexia.

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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

Cervidil (dinoprostone) has been ordered for a pregnant woman at 42 weeks of gestation. The nurse recognizes that this medication will be administered to:

Correct Answer is B

Explanation

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:

Correct Answer is C

Explanation

The nursery nurse attends the delivery of a post-term infant. Upon initial assessment, the infant is lethargic, has coarse breath sounds and blood gases indicate acidosis. An X-ray shows a honeycomb appearance. These signs are consistent with which complication of the newborn?

Which client is displaying health literacy at the basic functional level?

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Caring for a newborn in the neonatal intensive care unit (NICU), the RN states she recently completed a Finnegan score on a newborn. This tool measures which of the following?

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