Author: Anonymous

A nurse is caring for a client who is 36 hr postpartum and has a distended bladder. The client reports saturating four perineal pads in the past hour. Which of the following actions should the nurse take? (Select all that apply.)

A nurse is caring for a client who is 1 day postpartum following a cesarean birth. To prevent thrombophlebitis, the nurse should contribute which of the following interventions to the client’s plan of care?

A nurse is collecting data from a client who has a urinary tract infection. Which of the following findings should the nurse expect? (Select all that apply.)

A nurse is caring for a client who is postpartum and is breastfeeding her infant. Which of the following findings indicates mastitis?

A nurse is collecting data from a client who is postpartum. Which of the following findings should alert the nurse to the possibility of a postpartum complication?

A nurse is reviewing the medical record of a client who experienced a vaginal birth 2 hr ago. The nurse should identify that which of the following findings places the client at risk for a postpartum hemorrhage?

A nurse is reinforcing teaching with the parents of a newborn about caring for the umbilical cord stump. Which of the following instructions should the nurse include?

A nurse is assisting with the care of a newborn immediately following a cesarean delivery. The nurse’s highest priority is to monitor the newborn for which of the following?

A nurse is caring for a client who has unrelieved episiotomy pain 8 hr following delivery. Which of the following actions should the nurse take?  

A nurse is caring for a newborn who is formula fed. The newborn takes 0.5 oz of formula at 0800, 1 oz at 1100, 0.5 oz at 1300, 0.5 oz at 1600, and 0.5 oz at 1830. How many mL of formula should the nurse record as the client’s intake for the shift?