The perinatal nurse knows that one of the most severe complications for a patient with a diagnosis of abruptio placentae is which of the following?
A.
Couvelaire uterus
B.
Hydrops fetalis
C.
Hypertension
D.
Increased blood volume
ANS: A
Maternal problems resulting from abruptio placentae include a couvelaire uterus (the accumulation of blood between the separated placenta and the uterine wall) and disseminated intravascular coagulation. Although a couvelaire uterus is rare, its implications are severe. The uterus takes on a bluish tinge as blood extravasates from the clot into the myometrium. Contractility is lost. The condition is so severe that a hysterectomy may be necessary to control the bleeding.
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A) Forming B) Storming C) Norming D) Performing
A nurse is counseling a woman who wishes to undergo an elective medication abortion. The nurse should assess the woman for what psychosocial considerations? (Select all that apply.)
A. Availability of a close friend who can stay with the woman B. Feeling that medication pregnancy termination is a natural, less stressful process C. Potential for trauma at seeing or handling the products of conception D. Previous use of alcohol or other substances for coping E. Type of birth control the woman plans to use after the abortion
The nurse needs to collect a specimen from a client. The nurse has never collected this type of specimen in the past. What should the nurse do?
1. Notify the physician. 2. Ask another nurse to collect the specimen. 3. Consult the nursing procedure manual. 4. Delegate the collection of the specimen to unlicensed assistive personnel.
The perinatal nurse teaches the student nurse that deep breathing exercises following a cesarean birth are critical to the prevention of (select all that apply):
a. Pneumonia b. Atelectasis c. Abdominal distension d. Increased tidal volume