During a postpartum examination of a client who delivered an 8-pound newborn 6 hours ago, the following assessment findings are noted: fundus firm and at the umbilicus, and moderate lochia rubra with a steady trickle of blood from the vagina
What is the assessment finding that would necessitate follow-up? 1. Firm fundus
2. Fundus at the umbilical level
3. Moderate lochia rubra
4. Steady trickle of blood
4
Explanation: 4. The continuous seepage of blood is more consistent with cervical or vaginal lacerations. Lacerations should be suspected if the uterus is firm and of expected size and if no clots can be expressed. This finding would indicate a follow-up.
You might also like to view...
Which of the following is an example of what traditional medicine and complementary and alternative medicine therapies have in common?
1) Both can produce adverse effects in some patients. 2) Both use prescription medications. 3) Both are usually reimbursed by insurance programs. 4) Both are regulated by the FDA.
A patient is receiving a transfusion of packed red blood cells and consequently requires frequent vital signs. A set of vital signs was just due during the nurse's scheduled lunch break and so a colleague took the patient's vital signs
After returning from lunch, the nurse confirmed with the colleague that the scheduled vital signs were taken, to which the colleague replied, "Yes, it seems like I'm covering you a whole lot lately." How should the nurse best respond to the colleague's statement? A) "I don't think that's a fair thing to say because I can't help when a set of vitals are due." B) "If you're implying that I don't pull my weight I think that you're badly mistaken." C) "Well, what goes around comes around, right?" D) "Could you explain what you mean by that?"
A woman with a miniature dachshund has just married. The dachshund sleeps with her. Her husband has allergic rhinitis. What should the nurse instruct the couple to do?
A) Remove the pet from the bedroom. B) Allow the dog in bed but vacuum daily. C) Sleep with down comforter and pillows. D) Sleep with the windows open.
A client says that he does not want one particular nurse to care for him because she becomes defensive when he tells her how he is feeling and what he needs. The client is at risk for which of the following?
a. Prolonged hospitalization b. Poor outcomes of care c. Refusing to participate in the evaluation process d. Rehospitalization at a later date