Which physical assessment findings would the nurse consider normal for the postpartum patient following a vaginal delivery? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Elevated blood pressure
2. Fundus firm and midline
3. Moderate amount of lochia serosa
4. Edema and bruising of perineum
5. Inflamed hemorrhoids
2,4
Rationale 1: A high blood pressure could indicate hypertension, renal disease, or anxiety, and should not be considered normal but rather a possible alteration.
Rationale 2: A firm fundus that is midline indicates the normal progression of uterine involution.
Rationale 3: Following delivery, there should be a moderate amount of lochia rubra. Lochia serosa occurs on days 3–10 after delivery.
Rationale 4: After a vaginal delivery, there are slight edema and bruising in an intact perineum.
Rationale 5: If hemorrhoids are present, they should be small and nontender. If they are full, tender, and inflamed, it might be difficult to pass feces, and the patient might require additional interventions to relieve discomfort.
You might also like to view...
A client with an infection has a fever. What actions by the nurse help increase the client's comfort? (Select all that apply.)
a. Administer antipyretics around the clock. b. Change the client's gown and linens when damp. c. Offer cool fluids to the client frequently. d. Place ice bags in the armpits and groin. e. Provide a fan to help cool the client.
A client has all of the following family and personal factors. Which one greatly increases the risk for the client to develop respiratory problems?
A. The client has long-standing hypertension. B. The client's father died of lung cancer at age 82. C. The client's sister has a child with cystic fibrosis. D. The client has a deficiency of alpha1-antitrypsin.
Julie, a 47-year-old woman, missed 1 week of work when she was hospitalized with bipolar disorder
She was placed on medication and was able to return to work. When asked about her absence, Julie informed coworkers that she was suffering from influenza. What is the most likely reason Julie lied about her illness? A) This is a sign that the medication is not effectively treating her illness. B) Fear of rejection, isolation, and discrimination based on her mental health diagnosis C) Due to workplace policies that encourage the firing of those with mental illnesses D) To avoid eliciting sympathy among her coworkers
Which method of pain management is safest for a gravida 3 para 2 admitted at 8 cm cervical dilation?
a. Epidural anesthesia c. Spinal block b. Narcotics d. Breathing and relaxation techniques