While assessing a postpartum woman, the nurse palpates a contracted uterus. Perineal inspection reveals a steady stream of bright red blood trickling out of the vagina. The woman reports mild perineal pain. She just voided 200 mL of clear yellow urine. Which condition would the nurse suspect?
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The nurse has been monitoring a multipara client for several…
The nurse has been monitoring a multipara client for several hours. The client cries out that the contractions are getting harder and that they cannot continue with the labor process. The nurse notes the client is very irritable, nauseated, annoyed, and does not want to be left alone but also does not want to be touched. Based on the assessment which action should the nurse take next?
A G3P2 woman at 39 weeks’ gestation presents highly agitated…
A G3P2 woman at 39 weeks’ gestation presents highly agitated, reporting something “came out” when her membranes just ruptured. Which action should the nurse prioritize after noting the umbilical cord is hanging out of the vagina?
A nurse is caring for a female client with urinary incontine…
A nurse is caring for a female client with urinary incontinence. Which instruction should the nurse include in the client’s teaching plan to reduce the incidence or severity of incontinence?
A nursing student working with a client in preterm labor cor…
A nursing student working with a client in preterm labor correctly identifies which medication as being used to relax the smooth muscles of the uterus and for seizure prophylaxis and treatment in clients with preeclampsia?
A 10-week pregnant woman with diabetes has a glycosylated he…
A 10-week pregnant woman with diabetes has a glycosylated hemoglobin (HbA1c) level of 13%. At this time the nurse should be most concerned about which possible fetal outcome?
Which assessment finding will alert the nurse to be on the l…
Which assessment finding will alert the nurse to be on the lookout for possible placental abruption (abruptio placentae) during labor?
A client is diagnosed with uterine fibroids. When reviewing…
A client is diagnosed with uterine fibroids. When reviewing the client’s health history, the nurse would identify which finding as associated with the client’s condition?
A client’s membranes spontaneously ruptured, as evidenced by…
A client’s membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction. What would the nurse do next?
A nurse is counseling a woman diagnosed with fibrocystic bre…
A nurse is counseling a woman diagnosed with fibrocystic breast changes about self-care measures. Which instructions would the nurse include when teaching this client? Select all that apply.