After a forceps-assisted birth, the mother is observed to have continuous bright red lochia but a firm fundus. What other data would indicate the presence of a potential vaginal wall hematoma?
a. Mild, intermittent perineal pain
b. Edema and discoloration of the labia and perineum
c. Lack of an episiotomy
d. Lack of pain in the perineal area
B
The pain with vaginal hematoma is severe and constant. Cold application to the labia and perineum reduces pain by numbing the area, limiting bruising and edema for first 12 hours. An episiotomy is performed as the fetal head distends the perineum. The pain associated with vaginal hematoma is severe.
You might also like to view...
A patient is preparing to undergo magnetic resonance imaging for possible diagnosis of cerebral infarction. What is the nursing priority in preparing the patient for this diagnostic study?
A) Checking the patient's history for renal insufficiency, which could complicate use of a contrast medium. B) Confirming that the patient does not have any ferrous surgical clips or implants. C) Determining whether the patient is on anticoagulant therapy, which would be a contraindication. D) Preparing an 18-gauge needle for insertion.
Nurses practicing on a unit have identified that they are uncomfortable with interpreting results of published research findings. What would be an approach to this problem?
a. Avoidance of applying research findings on the unit b. Dissemination of findings in a more understandable manner c. Participation in research studies d. Reliance on researchers to interpret the findings
A client is diagnosed with a urinary tract infection (UTI). The health care practitioner elects to treat the client with ciprofloxacin (Cipro)
The client asks the nurse why she isn't receiving trimethoprim-sulfamethoxazole (TMP-SMZ), the drug she was given 8 months ago for a UTI. What would be the most accurate response? 1. "Many clients have developed resistance to TMP-SMZ, so that drug isn't used as much." 2. "It is obvious that the TMP-SMZ didn't clear up your infection the first time, so you are being given another medication." 3. "I'm sure there is a good reason why you are being given this different medication." 4. "Cipro is less expensive than the drug you took the last time."
The physician has ordered a nonpharmacologic therapy for a client diagnosed with bradycardia. The nurse anticipates what to be ordered for this client?
1. External defibrillation 2. Catheter ablation 3. Calcium channel blockers 4. Increased exercise