Monroe College RN HESI Maternity | Nurselytic

Questions 55

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Monroe College RN HESI Maternity Questions

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Question 1 of 5

The nurse is caring for a postpartum client who is experiencing severe pain and a sensation of pressure in her perineum. Her uterus is firm, and she has a moderate flow of lochia. Upon inspection, the nurse discovers that a perineal hematoma is starting to form. What should the nurse assess first?

Correct Answer: A

Rationale: A postpartum client experiencing severe pain and a sensation of pressure in her perineum, along with the formation of a perineal hematoma, is in a potentially serious situation. The nurse should first assess the client's heart rate and blood pressure. This is because a perineal hematoma can lead to significant blood loss, which could cause changes in these vital signs.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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