The charge nurse is assessing several postpartum clients. Which client has the greatest risk for postpartum hemorrhage?

1. The client who was overdue and delivered vaginally
2. The client who delivered by scheduled cesarean delivery
3. The client who had oxytocin augmentation of labor
4. The client who delivered vaginally at 36 weeks


3
Explanation: 3. Uterine atony is a cause of postpartal hemorrhage. A contributing factor to uterine atony is oxytocin augmentation of labor.

Nursing

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Concerning follow-up visits for women on prenatal care, nurses should be aware that:

1. the interview portions become more intensive as the visits become more frequent over the course of the pregnancy. 2. monthly visits are scheduled for the first trimester, every 2 weeks for the second, and weekly for the third. 3. during abdominal examination the nurse should be alert for supine hypotension. 4. for pregnant women a systolic blood pressure of 130 and a diastolic of 80 is suf-ficient to be considered hypertensive.

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Indicate the heart surface viewed by each of the following:

Leads II, III, aVF ____________________ Leads V1, V2 ____________________ Leads V3, V4 ____________________ Leads I, aVL, V5, V6 ____________________ Fill in the blanks with correct word

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A client with terminal cancer is dying. For the past several days, the client has refused food and fluids, and she pushes the caregiver's hands away when attempts are made to feed her or offer any kind of fluid

The family is considering placing a gastrostomy tube because they feel the client is "starving to death." The nurse should: A) Honor the family's wishes and have them sign a consent form. B) Take the case to the hospital's ethics committee. C) Honor the client's refusal and help the family come to terms with the situation. D) Talk to the physician so he can move forward with the family's wishes.

Nursing

A 3-year-old child is to receive an iron preparation orally. The nurse should:

1. Use a straw 2. Administer the medication by injection 3. Mix the medication in water 4. Ask the pharmacy to send up a pill for the child to swallow

Nursing