Author Question: During an assessment, the nurse notes the postpartum client is experiencing intense shaking and ... (Read 58 times)

CORALGRILL2014 · **on:** Jun 25, 2018

During an assessment, the nurse notes the postpartum client is experiencing intense shaking and chills. Based on this data which conclusion by the nurse is appropriate? Select all that apply.

A) This is evidence of incomplete expulsion of the placenta.
B) The client has a full bladder.
C) This may be a reaction to maternal adrenal production during labor and birth.
D) This may be a reaction to epidural anesthesia.
E) The client has a fever from a postpartum infection.

Question 2

The nurse is conducting a community assessment regarding risk factors that increase an individual's risk of being raped. When educating the community about these risks, which will the nurse include? Select all that apply.

A) Previous history of being raped
B) Current substance abuse
C) Lives with parents
D) Attends community college
E) Unemployed

essyface1 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: C, D

Intense tremors similar to shaking chills can occur in the mother after birth and have been explained as being caused by a reaction to epidural anesthesia or a reaction to maternal adrenal production during labor and birth. The nurse would need to assess the client's temperature to determine the presence of a fever. Indications of a full bladder would most likely be a displaced uterus. Shaking chills after delivery is not evidence of incomplete expulsion of the placenta.

Answer to Question 2

Answer: A, B, E

Risk factors for rape include drug use, having been previously raped, and poverty. Living with parents and attending college are not specific risk factors for rape.