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Which of the following is the appropriate nursing care outcome for a client who suddenly develops anaphylactoid syndrome of pregnancy (ASP) during labor?

Client will be infection free at discharge.

Client will exhibit normal breathing function at discharge.

Client will exhibit normal gastrointestinal function at discharge.

Client will void without pain at discharge.

Answer and Explanation

The Correct Answer is B

Choice A rationale

While infection prevention is vital, ensuring breathing function is more critical after ASP.

Choice B rationale

ASP affects the respiratory system severely; thus, restoring normal breathing is a primary goal.

Choice C rationale

Gastrointestinal function is less immediately affected by ASP compared to respiratory issues.

Choice D rationale

Voiding without pain is important, but respiratory stability takes precedence.

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Correct Answer is D

Explanation

Choice A rationale

Reduction of fever is not a primary effect of carboprost tromethamine. This medication is primarily used to induce uterine contractions to manage postpartum hemorrhage.

Choice B rationale

While maintaining stable blood pressure is important, it is not the specific indicator of carboprost tromethamine's effectiveness. This medication is used to control bleeding.

Choice C rationale

Increased comfort, although significant, is not the direct effect of carboprost tromethamine. The primary aim is to induce uterine contractions to manage hemorrhage.

Choice D rationale

Decreased lochia rubra indicates the reduction of postpartum bleeding, which is the primary purpose of administering carboprost tromethamine. This outcome shows the medication is effective.

A. Advise the woman to apply ice packs to her breasts. B. Encourage the woman to breastfeed frequently. C. Inform the woman that she should wean immediately. D. Direct the woman to notify her pediatrician as soon as possible.

Correct Answer is B

Explanation

Choice A rationale

Applying ice packs can help reduce pain and swelling, but it is not the best intervention for a breastfeeding mother with mastitis. Ice can constrict blood vessels and may hinder milk flow, which can exacerbate the condition.

Choice B rationale

Frequent breastfeeding helps to empty the affected breast and prevent milk stasis, reducing the risk of abscess formation and promoting faster healing. The mechanical action of nursing can help clear the infection and provide relief.

Choice C rationale

Weaning immediately is not advised as it can lead to engorgement and milk stasis, worsening the infection. Continuing to breastfeed ensures the breast is regularly emptied, aiding in recovery.

Choice D rationale

While notifying the pediatrician may be necessary if the baby is affected, it does not directly address the mother's condition or provide immediate relief. Primary management focuses on treating the infection and maintaining milk flow.

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Which of the following is the appropriate nursing care outcome for a client who suddenly develops anaphylactoid syndrome of pregnancy (ASP) during labor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for the postpartum client.Which assessment finding should prompt the nurse to conclude that the administration of carboprost tromethamine (Hemabate) has been effective?

Correct Answer is D

Explanation

A breastfeeding mother calls the obstetrician's office with a complaint of pain in one breast.Upon inspection, a diagnosis of mastitis is made.Which of the following nursing interventions is appropriate?

Correct Answer is B

Explanation

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