NR 327 Real Life Maternity - Postpartum Hemorrhage
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NR 327 Real Life Maternity - Postpartum hemorrhage
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NR 327 Real Life Maternity - Postpartum Hemorrhage
Institution
Chamberlain College Of Nursing
NR 327 Real Life Maternity - Postpartum hemorrhage
1 Nurse Dee is preparing to assess Ms. Hodges's uterus. Which of the following images demonstrates the technique she should use to palpate the fundus of the uterus?
A)
B)
C)
D)
Answer: B
The correct position for the nurse to place he...
nr 327 real life maternity postpartum hemorrhage 1 nurse dee is preparing to assess ms hodgess uterus which of the following images demonstrates the technique she should use to palpate the fu
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Chamberlain College Of Nursing
NR 327 Real Life Maternity - Postpartum Hemorrhage
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NR 327 Real Life Maternity - Postpartum hemorrhage
1 Nurse Dee is preparing to assess Ms. Hodges's uterus. Which of the following images demonstrates
the technique she should use to palpate the fundus of the uterus?
A)
B)
C)
D)
Answer: B
The correct position for the nurse to place her hands is above the fundus and below the lower uterine
segment just above the symphysis pubis. This allows the nurse to cradle the uterus while assessing uterine
integrity.
2 Nurse Dee has completed a postpartum assessment of Ms. Hodges. Which of the following is the
priority action at this time?
A) Recommend Mrs. Hodges speak with the lactation specialist
B) Instruct Mrs. Hodges to take several deep breaths
C) Assist Mrs. Hodges to empty her bladder
D) Assess Mrs. Hodges' pain level
Answer: C
The nurse should assist the client to empty her bladder. A distended bladder can interfere with the ability of
the uterus to contract and increase the risk of hemorrhage.
3 Nurse Dee is preparing to notify the provider about Ms. Hodges's increased bleeding. Which of the
following laboratory tests should the nurse anticipate the provider will prescribe? (Select all that apply.)
A) Hemoglobin
B) Albumin
C) Creatinine
D) Hematocrit
E) Platelet
s Answer: A, D,
E
The nurse should anticipate the provider will order the following laboratory tests: hemoglobin, which is an
indicator of the number of RBCs and decreases during hypovolemia and hemorrhage; hematocrit, which is
the percent of RBCs in the total blood volume, and decreases during hypovolemia and hemorrhage;
platelets, which are cell fragments that facilitate blood clotting and a decrease in the number of circulating
platelets can increase a client's risk for bleeding.
4 Nurse Dee is reviewing Dr. Lowenthal's prescriptions for pain medication for Ms. Hodges. Which of
the following is the most appropriate medication to control Ms. Hodges's pain at this time?
A) Acetaminophen (Tylenol) 650 mg
B) Oxycodone / Acetaminophen (Percocet) 10 mg / 650 mg
C) Ibuprofen (Motrin) 600 mg
D) Meperidine (Demerol) 50 mg
Answer: C
The nurse should give ibuprofen, an NSAID, for mild to moderate pain.
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