Question

A client appears to be resting comfortably 12 hours after giving birth to her first child. In contrast, she labored for more than 24 hours, the primary care provider had to use forceps to deliver the baby, and she had multiple vaginal examinations during labor. Based on this information what postpartum complication is the client at risk for developing?

Answer 1

Explanation:

spaced together, would place the woman at risk for postpartum hemorrhage.(less) Reference:Ricci, S. S. Essentials of Maternity, Newborn, and Women's Health Nursing, 3rd ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2013, Chapter 16: Nursing Management During the Postpartum Period, p. 486. Ricci, S. S. Essentials of Maternity, Newborn, and Women's Health Nursing, 2nd ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2009, Chapter 16: Nursing Management During the Postpartum Period, p. 396.Question 10:(see full question)A postpartum client who had a cesarean birth reports right calf pain to the nurse. The nurse observes that the client has nonpitting edema from her right knee to her foot. The nurse knows to prepare the client for which test first?You selected:Venous duplex ultrasound of the right legCorrectExplanation:Right calf pain and nonpitting edema may indicate deep vein thrombosis (DVT). Postpartum clients and clients who have had abdominal surgery are at increased risk for DVT. Venous duplex ultrasound is a noninvasive test that visualizes the veins and assesses blood flow patterns. A venogram is aninvasive test that utilizes dye and radiation to create images of the veins andwouldn’t be the first choice. Transthoracic echocardiography looks at cardiac structures and isn’t indicated at this time. Right calf pain and edemaare symptoms of venous outflow obstruction, not arterial insufficiency. (less) Reference:Ricci, S. S. Essentials of Maternity, Newborn, and Women's Health Nursing, 3rd ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2013, Chapter 16: Nursing Management During the Postpartum Period, p. 491. Ricci, S.S. Essentials of Maternity, Newborn, and Women's Health Nursing,2nd ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2009, Chapter 16: Nursing Management during the Postpartum Period, p. 425.Question 11:(see full question)Many patients experience a slight fever after delivery especially during the first 24 hours. To what should the nurse attribute this elevated temperature?You selected:dehydrationCorrectExplanation:Many women experience a slight fever (100.4°F [38°C]) during the first 24 hours after delivery. This results from dehydration because of fluid loss during labor. With the replacement of fluids the temperature should return to normal after 24 hours. (less) Reference:Ricci, S. S. Essentials of Maternity, Newborn, and Women's Health Nursing, 3rd ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2013, Chapter 16: Nursing Management During the Postpartum Period, p. 487. Ricci, S. S. Essentials of Maternity, Newborn, and Women's Health