A woman gave birth to a 7-pound, 6-ounce infant girl 1 hour ago. The birth was vaginal and the estimated blood loss (EBL) was 1500 ml. When evaluating the woman's vital signs, which finding would be of greatest concern to the nurse?

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Maternal Health Issues in the US Questions

Question 1 of 5

A woman gave birth to a 7-pound, 6-ounce infant girl 1 hour ago. The birth was vaginal and the estimated blood loss (EBL) was 1500 ml. When evaluating the woman's vital signs, which finding would be of greatest concern to the nurse?

A. Temperature 37.9Â° C, heart rate 120 beats per minute (bpm), respirations 20 breaths per minute, and blood pressure 90/50 mm Hg B. Temperature 37.4Â° C, heart rate 88 bpm, respirations 36 breaths per minute, and blood pressure 126/68 mm Hg C. Temperature 38Â° C, heart rate 80 bpm, respirations 16 breaths per minute, and blood pressure 110/80 mm Hg D. Temperature 36.8Â° C, heart rate 60 bpm, respirations 18 breaths per minute, and blood pressure 140/90 mm Hg

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

Which statement by a newly delivered woman indicates that she knows what to expect regarding her menstrual activity after childbirth?

A. My first menstrual cycle will be lighter than normal and then will get heavier every month thereafter. B. My first menstrual cycle will be heavier than normal and will return to my prepregnant volume within three or four cycles. C. I will not have a menstrual cycle for 6 months after childbirth. D. My first menstrual cycle will be heavier than normal and then will be light for several months after.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

What should the nurse's next action be if the client's white blood cell (WBC) count is 25,000/mmÂ³ on her second postpartum day?

A. Immediately inform the health care provider. B. Have the laboratory draw blood for reanalysis. C. Recognize that this count is an acceptable range at this point postpartum. D. Immediately begin antibiotic therapy.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A nurse is reviewing a client's medical record and notes that the client is taking tamoxifen. The nurse should identify that tamoxifen is used to treat which of the following conditions?

A. Non-Hodgkin's lymphoma B. Endometriosis C. Breast cancer D. Polycystic ovary syndrome

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

A nurse is providing teaching about newborn safety to a client who is being admitted for induction of labor. Which of the following client statements indicate an understanding of the teaching?

A. I will check the identification badge of anyone who removes my baby from our room. B. I should include a photo of my baby along with any public birth announcements to social media. C. I will allow my baby to sleep on the bed in my room when I am in the shower. D. I should expect the nurses to carry my baby in their arms to the nursery.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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