During a postpartum examination of a client who delivered an ...

[james0929]

During a postpartum examination of a client who delivered an 8-pound newborn 6 hours ago, the following assessment findings are noted: fundus firm and at the umbilicus, and moderate lochia rubra with a steady trickle of blood from the vagina.
 
  What is the assessment finding that would necessitate follow-up? 1. Firm fundus
  2. Fundus at the umbilical level
  3. Moderate lochia rubra
  4. Steady trickle of blood

Question 2

The 12-year-old client reports that menarche occurred five months ago. She has had bleeding every day this month, and is very worried. The nurse should explain that the most common cause of this bleeding is:
 
  A. Anovulation.
   B. Diabetes mellitus.
   C. Pregnancy.
   D. Von Willebrand disease.

[milbourne11]

Answer to Question 1

4
Explanation: 4. The continuous seepage of blood is more consistent with cervical or vaginal lacerations. Lacerations should be suspected if the uterus is firm and of expected size and if no clots can be expressed. This finding would indicate a follow-up.

Answer to Question 2

A