A client has just received Hemabate (carboprost) because of uterine atony not controlled by IV oxytocin. For which of the following side effects of the medication will the nurse monitor this patient? Select one that doesn't apply.

Correct Answer: B

Rationale: The correct answer is B) Diarrhea. When a client receives Hemabate (carboprost) for uterine atony, the nurse should monitor for diarrhea as it is a common side effect of this medication. Hemabate is a prostaglandin analog that can stimulate smooth muscle, leading to gastrointestinal effects like diarrhea. Option A) Hyperthermia is incorrect because hyperthermia is not a common side effect of Hemabate. Option C) Hypotension is incorrect because although hypotension can occur with Hemabate due to its smooth muscle effects, it is a more common side effect of other medications used for postpartum hemorrhage. Option D) Palpitations is incorrect because palpitations are not typically associated with Hemabate use. Educationally, it is important for nurses to understand the common side effects of medications used in postpartum care to provide safe and effective care to their patients. Monitoring for side effects and knowing how to manage them is crucial in preventing complications and ensuring the well-being of postpartum clients.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Auscultate lung fields. The reason this is important is that a client who received general anesthesia during a cesarean section is at risk for respiratory complications due to the effects of anesthesia on respiratory drive and function. Auscultating the lung fields allows the nurse to assess for any signs of respiratory distress, such as decreased breath sounds, crackles, or wheezing, which could indicate a potential problem that needs immediate intervention. Option A) Place the client flat in bed is incorrect because after receiving general anesthesia, the client should not be placed flat as this position can increase the risk of aspiration and compromise respiratory function. Option B) Assess for dependent edema is not the priority in this situation as it does not directly address the potential respiratory complications associated with general anesthesia. Option D) Check patellar reflexes is unrelated to the client's current condition following general anesthesia and cesarean section, and it does not help in assessing or managing any immediate postpartum issues. Educationally, understanding the impact of anesthesia on postpartum clients and the importance of monitoring respiratory status postoperatively is crucial for nurses caring for women in the postpartum period. By prioritizing interventions based on the client's condition and potential risks, nurses can provide safe and effective care to promote positive outcomes for both the mother and the newborn.

Correct Answer: B

Rationale: In the postpartum period, it is crucial for the nurse to prioritize the safety and well-being of the mother and newborn. In this scenario, the correct action for the nurse to take following the administration of Benadryl to a post-cesarean client experiencing side effects from morphine is to supervise while the woman holds her newborn (Option B). This is the correct answer because it ensures that the mother and newborn have a bonding opportunity, which is essential for establishing a strong maternal-infant relationship and promoting breastfeeding initiation. Option A, monitoring urinary output hourly, is not the priority in this situation as it does not address the immediate need for maternal-newborn bonding or the management of side effects. Option C, positioning the woman slightly elevated on her left side, is not relevant in this context and does not address the specific issue at hand. Option D, asking visitors to leave the room, is not as important as ensuring the mother has the opportunity to bond with her newborn after experiencing side effects. Educationally, it is important for nurses to understand the significance of promoting maternal-newborn bonding in the immediate postpartum period. This bonding time is crucial for psychological well-being, breastfeeding success, and the establishment of a nurturing relationship between mother and baby. Nurses play a key role in facilitating these early bonding experiences, which can have long-lasting positive effects on both the mother and infant.

Correct Answer: D

Rationale: The correct answer is D) The mother's joints may become painful and stiff. This side effect is associated with rubella vaccination and is known as arthralgia or joint pain. It is important for the nurse to warn the client about this potential side effect to ensure the client is informed and prepared. Option A) The baby may develop a rash a week after the shot is incorrect because rubella vaccination does not typically cause a rash in babies. Option B) The baby may temporarily reject the breast milk is incorrect as rubella vaccination in the mother does not directly impact the baby's acceptance of breast milk. Option C) The mother's milk supply may decrease precipitously is incorrect because rubella vaccination is not known to affect milk supply. Educational Context: It is crucial for nurses to educate postpartum clients about common side effects of vaccinations, especially when they are breastfeeding. By providing accurate information, nurses empower clients to make informed decisions about their health and the health of their baby. Understanding the potential side effects of vaccinations can alleviate anxiety and promote trust in the healthcare provider's guidance.

Correct Answer: A

Rationale: Rationale: The correct answer is A) Pain. Vaginal hematoma is a serious postpartum complication characterized by the accumulation of blood in the vaginal tissues. Pain is a common and significant symptom associated with a vaginal hematoma. The presence of a hematoma can cause severe localized pain due to the pressure exerted on surrounding tissues and nerves. Option B) Bleeding is not typically associated with vaginal hematoma. While bleeding may occur if the hematoma ruptures, it is not a primary symptom of a vaginal hematoma. Option C) Warmth is not a specific symptom of a vaginal hematoma. Warmth may be a sign of infection, but it is not a typical finding in a vaginal hematoma. Option D) Redness is also not a typical symptom of a vaginal hematoma. Redness may indicate inflammation or infection but is not a characteristic feature of a hematoma. Educational Context: Understanding the symptoms of postpartum complications like vaginal hematoma is crucial for nurses caring for postpartum clients. Recognizing these symptoms promptly can lead to early intervention and prevention of serious complications. Pain in the presence of a vaginal hematoma should never be ignored and requires immediate assessment and management to ensure the well-being of the mother. Nurses should be vigilant in monitoring postpartum clients for any signs of complications to provide timely and appropriate care.