How should the risk of Venous Thromboembolism (VTE) and Postpartum Hemorrhage (PPH) be evaluated?

Low risk: Routine monitoring.

Moderate to high risk: Initiate VTE prophylaxis per policy.

Moderate risk or blood loss greater than 500 mL spontaneous vaginal delivery (SVD) or greater than 1,000 mL cesarean.

High risk: Greater than 500 mL blood loss SVD or greater than 1,000 mL cesarean, vital sign changes.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Low risk: Routine monitoring. This choice is not the most appropriate. While routine monitoring is important for all patients, those receiving the MMR vaccine are not at an increased risk for Venous Thromboembolism (VTE) or Postpartum Hemorrhage (PPH) based solely on the administration of this vaccine.
Choice B rationale
Moderate to high risk: Initiate VTE prophylaxis per policy. This choice is the most appropriate. The risk of VTE and PPH should be evaluated based on the patient’s overall health status, pregnancy history, and current condition. If the patient is determined to be at moderate to high risk, VTE prophylaxis should be initiated per policy.
Choice C rationale
Moderate risk or blood loss greater than 500 mL spontaneous vaginal delivery (SVD) or greater than 1,000 mL cesarean. This choice is not the most appropriate. While these factors can contribute to the risk of VTE and PPH, they are not directly related to the administration of the MMR vaccine.
Choice D rationale
High risk: Greater than 500 mL blood loss SVD or greater than 1,000 mL cesarean, vital sign changes. This choice is not the most appropriate. While these factors can contribute to the risk of VTE and PPH, they are not directly related to the administration of the MMR vaccine.

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Correct Answer is B

Explanation

Choice A rationale

While assessing the station of the presenting part is important during labor, it is not the most crucial assessment following the administration of epidural anesthesia.

Choice B rationale

Monitoring maternal blood pressure is the most important assessment following the administration of epidural anesthesia. Epidural anesthesia can cause a drop in blood pressure, which can lead to complications for both the mother and the baby.

Choice C rationale

Although assessing the variability of the fetal heart rate is important during labor, it is not the most crucial assessment following the administration of epidural anesthesia.

Choice D rationale

While assessing the level of pain sensation is important to evaluate the effectiveness of the epidural anesthesia, it is not the most crucial assessment following its administration.

A. Purulent secretions. B. Apprehension. C. Thick, muffled voice. D. Wheezing.

Correct Answer is C

Explanation

Choice A rationale
Purulent secretions are not typically associated with epiglottitis. Epiglottitis is an inflammation and swelling of the epiglottis and does not usually produce purulent secretions.
Choice B rationale
While a child with epiglottitis may appear anxious due to difficulty breathing, apprehension is not a specific symptom of epiglottitis.
Choice C rationale
A thick, muffled voice is a common symptom of epiglottitis. The inflammation and swelling of the epiglottis can affect the child’s voice, making it sound thick and muffled.
Choice D rationale
Wheezing is not typically a symptom of epiglottitis. While breathing difficulties are common in epiglottitis, they are usually due to the swelling of the epiglottis rather than constriction of the airways, which causes wheezing.

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How should the risk of Venous Thromboembolism (VTE) and Postpartum Hemorrhage (PPH) be evaluated?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who is 40-weeks gestation in active labor and has received epidural anesthesia. What is the most important assessment for the nurse to conduct following the administration of epidural anesthesia?

Correct Answer is B

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

What other symptoms is the nurse likely to note in a child diagnosed with epiglottitis?

Correct Answer is C

Explanation

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