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The nurse is caring for a patient who is 30 hours post-op from her cesarean delivery.  Which intervention would the nurse identify as top priority for his shift to complete?

How did the United States first become involved in Vietnam during the 1950s?

The nurse palpates the client’s fundus on the right side of the abdomen above the expected level.  The client questions why this would be.  What response by the nurse is accurate?

The postpartum nurse observes a client holding her baby that she delivered this morning.  The client’s husband is sitting on the bed next to his wife, looking closely at the baby and asking a question about newborn care.  The 3-year-old big brother is pulling on the mother’s gown and hitting her on the back.  What is the most appropriate action by the nurse?

The client who delivered earlier today is questioning the nurse as to why it is so important that she empties her bladder so frequently because it is uncomfortable getting out of bed so often.  The nurse explains that during the postpartum period, overdistention of the bladder and urinary retention can lead to which complications?

The postpartum nurse plans nursing care based on the knowledge that in the immediate postpartum period, what is the most serious consequence that can occur due to bladder distention?

A nurse is caring for a newborn who is slightly jittery and has a body temperature trending toward the lower end of normal. The nurse reviews the newborn’s lab results: Hematocrit: 58% WBC count: 15,000 cells/mm³ Blood glucose: 30 mg/dL RBC count: 5 million/mcL Based on these findings, which lab value should the nurse recognize as contributing to the newborn’s risk for impaired thermoregulation?

A nursing plan of care includes therapeutic interventions for common conditions expected when a woman has just given birth.  After evaluating the results of unsuccessful nonpharmacologic measures to restore uterine tone for a boggy fundus, the nurse can expect to prepare and administer which of the following?

The nurse is organizing tasks for the morning and notes that each of her four postpartum clients would be due to have their PRN analgesic if they requested it.  Which client would the nurse anticipate most likely to request their analgesic for cramping afterpains?

The client who is in recovery after a C-section delivery asks the nurse if she will still bleed since she did not deliver vaginally.  What is the most accurate response by the nurse?