The nurse is caring for a woman who is gravida 2, para 1 on her first postpartum day

The assessment reveals: temperature 38° C (100° F), pulse 60 beats/minute, blood pressure 118/80 mm Hg, fundus firm at the level of umbilicus and displaced slightly to right, last void 6 hours earlier, moderate amount of lochia rubra, and perineum slightly edematous with episiotomy edges well approximated. The first nursing action should be to:
a. Notify the nurse-midwife of her temperature.
b. Apply an ice pack to her perineum.
c. Assist her to the bathroom to void.
d. Chart the assessment findings as normal.


ANS: C
Uterine displacement is usually associated with bladder distention. After the nurse takes her to the bathroom to void, the uterus should shift to a midline position. The other findings are normal.

Nursing

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A group of nursing students are reviewing information about the variations in respiratory anatomy and physiology in children in comparison to adults

The students demonstrate understanding of the information when they identify which of the following? A) Children's demand for oxygen is lower than that of adults. B) Children develop hypoxemia more rapidly than adults do. C) An increase in oxygen saturation leads to a much larger decrease in pO2. D) Children's bronchi are wider in diameter than those of an adult.

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A nabothian cyst is characteristically described as

a. a bright red, soft protrusion through the cervical os. b. hemorrhagic spots on the surface of the cervix. c. a reddish circle around the os. d. a small, round, yellow lesion.

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A hospitalized child has developed a methicillin-resistant Staphylococcus aureus (MRSA) infection. The nurse plans which interventions when caring for this child? Select all that apply

a. Airborne isolation b. Administration of vancomycin (Vancocin) c. Contact isolation d. Administration of mupirocin (Bactroban) ointment to the nares e. Administration of cefotaxime (Cefotetan)

Nursing

The nurse assigned to the pediatric unit of a hospital is caring for a child who cries for his mother when she is not with him. The mother works during the day

Which of the following actions on the part of the nurse most indicates the nurse is letting her own values get in the way of caring for this family? a. encouraging the mother to discuss her feelings about leaving her son b. being angry with the mother because she does not stay with the child c. assessing the family for socioeconomic needs as well as other needs d. offering to set up a meeting with social services and child protective services

Nursing