Postpartum Complications

The nurse is monitoring a client in the immediate postpartum period for signs of hemorrhage. Which sign, if noted, would be an early sign of excessive blood loss?

The nurse is preparing a list of self-care instructions for a postpartum client who was diagnosed with mastitis. Which instructions should be included on the list? Select all that apply.

1. Wear a supportive bra.
2. Rest during the acute phase.
3. Maintain a fluid intake of at least 3000 mL/day.
4. Continue to breast-feed if the breasts are not too sore.
5. Take the prescribed antibiotics until the soreness subsides.
6. Avoid decompression of the breasts by breast-feeding or breast pump.

The nurse is providing instructions about measures to prevent postpartum mastitis to a client who is breast-feeding her newborn. Which client statement would indicate a need for further instruction?

The postpartum nurse is assessing a client who delivered a healthy infant by cesarean section for signs and symptoms of superficial venous thrombosis. Which sign should the nurse note if superficial venous thrombosis were present?

A client in a postpartum unit complains of sudden sharp chest pain and dyspnea. The nurse notes that the client is tachycardic and the respiratory rate is elevated. The nurse suspects a pulmonary embolism. Which should be the initial nursing action?

The nurse is assessing a client in the fourth stage of labor and notes that the fundus is firm, but that bleeding is excessive. Which should be the initial nursing action?

The nurse is preparing to care for four assigned clients. Which client is at most risk for hemorrhage?

A postpartum client is diagnosed with cystitis. The nurse should plan for which priority action in the care of the client?

The nurse is monitoring a postpartum client who received epidural anesthesia for delivery for the presence of a vulvar hematoma. Which assessment finding would best indicate the presence of a hematoma?

The nurse is creating a plan of care for a postpartum client with a small vulvar hematoma. The nurse should include which specific action during the first 12 hours after delivery?

On assessment of a postpartum client, the nurse notes that the uterus feels soft and boggy. The nurse should take which initial action?