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 D

Explanation

The biophysical profile (BPP) would yield more detailed information about the fetus in this scenario. The BPP is a prenatal ultrasound evaluation that assesses fetal well-being by evaluating five biophysical variables: fetal breathing movements, fetal movements, fetal tone, amniotic fluid volume, and fetal heart rate. The BPP is a more detailed assessment of fetal well-being compared to a nonstress test and can provide valuable information about the fetus's overall health and well-being, including any potential issues or difficulties.

MSAFP screening is a blood test that can detect certain fetal abnormalities, but it does not provide detailed information about fetal well-being.

Percutaneous umbilical blood sampling (PLBS) is an invasive test that is used to obtain a sample of fetal blood for testing in cases of suspected fetal anemia or other blood disorders. Ultrasound for fetal anomalies is a diagnostic tool used to detect structural abnormalities or defects in the fetus. While it can provide some information about fetal well-being, it is not as comprehensive as the BPP in evaluating fetal health and wellness.

A. To provide the proper immunizations to those exposed. B. To provide symptom support, as there is no treatment to exposure of anthrax C. to administer antibiotics within 48 hours of exposure using the Strategic National Stockpile D. To place everyone who was exposed in quarantine.

Correct Answer is C

Explanation

In the case of a bioterrorism attack involving anthrax, the main priority for the nurse is to administer antibiotics within 48 hours of exposure using the Strategic National Stockpile. Anthrax is a serious bacterial infection that can be used as a bioterrorism weapon. Antibiotics, such as ciprofloxacin, doxycycline, and penicillin, can be used to prevent anthrax from developing in people who have been exposed.

There is currently no vaccine available for anthrax exposure. Also, symptom support alone is not enough in cases of anthrax exposure, as anthrax can progress rapidly and lead to serious complications. Placing everyone who was exposed in quarantine may not be necessary in all situations, and should be determined on a case-by-case basis depending on the extent and severity of the exposure.

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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:

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Naxlex Comprehensive Predictor Exams

A 41-week pregnant multigravida presents in the labor and delivery unit after a nonstress test indicated that her fetus could be experiencing some difficulties in utero. Which diagnostic tool would yield more detailed information about the fetus?

Correct Answer is D

Explanation

A bioterrorism attack occurred locally in which people were exposed to anthrax. As the nurse, you understand the main priority would be:

Correct Answer is C

Explanation

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