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Which symptom would the nurse expect to observe in a postpartum client with a vaginal hematoma?

Pain.

Bleeding.

Warmth.

Redness.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Vaginal hematomas are usually associated with severe pain due to the accumulation of blood in the tissues.

Choice B rationale

Bleeding might be visible, but hematomas often cause internal accumulation, not external bleeding.

Choice C rationale

Warmth is not typically associated with hematomas; instead, pain and swelling are more common.

Choice D rationale

Redness may occur, but pain is the most consistent symptom.

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Correct Answer is D

Explanation

Choice A rationale

Reflexes of 3+ indicate hyperreflexia, common in pre-eclampsia, but not necessarily critical. Monitoring is essential but not an emergency.

Choice B rationale

Urinary output of 30 mL/hr is within the acceptable range but requires monitoring for any changes. It's not a critical alert.

Choice C rationale

A respiratory rate of 16 rpm is normal and does not indicate immediate risk requiring physician notification.

Choice D rationale

Serum magnesium level of 10 mg/dL is significantly high, indicating potential toxicity. Immediate physician notification is critical to adjust magnesium sulfate administration.

A. A. Associated with precipitous labor and birth. B. Effectively treated with a single dose of ampicillin or cephalosporin. C. Less frequent following cesarean birth due to sterile technique used during surgery. D. Associated with internal monitoring, amnioinfusion, prolonged labor, and prolonged rupture of membranes.

Correct Answer is D

Explanation

Choice A rationale

Precipitous labor and birth are not directly associated with postpartum endometritis. The primary risk factors are related to infections during labor.

Choice B rationale

Postpartum endometritis is typically treated with a combination of antibiotics for 7-10 days, not a single dose of ampicillin or cephalosporin. A single dose would be insufficient for treating the infection.

Choice C rationale

Postpartum endometritis is more common following cesarean birth due to increased risk of infection despite the use of sterile techniques during surgery.

Choice D rationale

Postpartum endometritis is associated with internal monitoring, amnioinfusion, prolonged labor, and prolonged rupture of membranes. These factors increase the risk of infection, which can lead to endometritis.

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Which symptom would the nurse expect to observe in a postpartum client with a vaginal hematoma?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is on magnesium sulfate for pre-eclampsia with severe features.The nurse must notify the attending physician regarding which of the following findings?

Correct Answer is D

Explanation

Postpartum endometritis is:

Correct Answer is D

Explanation

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Which symptom would the nurse expect to observe in a postpartum client with a vaginal hematoma?