A patient sustains a vaginal tear during the labor and delivery ...

[dalyningkenk]

A patient sustains a vaginal tear during the labor and delivery process and is experiencing profuse vaginal bleeding. What should the nurse instruct the patient about this injury?
 
  A) This injury will heal rapidly.
  B) Surgery is needed to repair the tear.
  C) Future vaginal deliveries will be compromised.
  D) Bleeding will continue for several weeks to months.

Question 2

Which nursing intervention is appropriate for a child with type 1 diabetes who is experiencing deficient fluid volume related to abnormal fluid losses through diuresis and emesis? Select all that apply.
 
  a. Initiate IV access.
  b. Begin IV fluid replacement with normal saline.
  c. Begin IV fluid replacement with D5
  1/2NS.
  d. Weigh on arrival to the unit and then every other day.
  e. Maintain strict intake and output monitoring.

[xiazhe]

Answer to Question 1

A
Feedback:
The blood supply to the vagina is furnished by the vaginal artery, a branch of the internal iliac artery. Vaginal tears at childbirth tend to bleed profusely because of this rich blood supply. The same rich blood supply is the reason any vaginal trauma at birth heals rapidly. Surgery is not needed to repair the tear. Future vaginal deliveries will not be compromised. Bleeding will not continue for several weeks to months.

Answer to Question 2

A, B, E
Feedback
Correct IV access should always be obtained on a hospitalized child with
dehydration and a history of type 1 diabetes. Maintaining circulation is a
priority nursing intervention. If the child is vomiting and unable to
maintain adequate hydration, fluid volume replacement/rehydration is
needed. Normal saline is the initial IV rehydration fluid, followed by
half-normal saline. Maintaining strict intake and output is essential in
calculating rehydration status.
Incorrect D5
1/2NS is not the recommended fluid for rehydration of this patient.
Weighing the patient on arrival is important, but following the initial
weight, the child needs to be weighed more frequently than every other
day. Comparison of admission weight and a weight every 8 hours provides
an indication of hydration status.

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TYSM

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