The nurse has received the end-of-shift report on the postpartum unit. Which client should the nurse see first?
1. Woman who is 2nd day post-cesarean, moderate lochia serosa
2. Woman day of delivery, fundus firm 2 cm above umbilicus
3. Woman who had a cesarean section, 1st postpartum day, 4 cm diastasis recti abdominis
4. Woman who had a cesarean section, 1st postpartum day, hypoactive bowel sounds all quadrants
2
Explanation: 2. This client is the top priority. The fundus should not be positioned above the umbilicus after delivery. If the fundus is in the midline but higher than expected, it is usually associated with clots within the uterus.
You might also like to view...
A 45-year-old married woman who works full time in a factory has recently been absent for 3-day periods on several occasions. Each time, she returned to work wearing dark glasses. Facial and body bruises were apparent
Her supervisor became suspicious that she was a victim of battering and referred her to the occupational health nurse. What should the nurse first focus on as she meets the patient? a. Notifying the police of the abuse b. Documenting the woman's injuries c. Establishing trust and building rapport d. Collecting evidence to prosecute the abuser
The health care provider has prescribed ondansetron (Zofran) 0.1 mg/kg as needed for nausea for a child admitted for vomiting. The child weighs 55 lb. Calculate the correct dose of Zofran in milligrams. Record your answer using one decimal place
_________________ Fill in the blank with the correct answer.
The University of Michigan studies explored how leadership functioned in
a. Organizations b. Follower interactions c. Dyadic relationships d. Small groups e. Political environments
The practice of removing sins and diseases and cleansing negative energy away from body, mind, and spirit through ritualistic washing is/are
A. Kachhn. B. amulets. C. Kara. D. ablutions.