Review of a primiparous woman's labor and birth record reveals a ...

[Melani1276]

Review of a primiparous woman's labor and birth record reveals a prolonged second stage of labor and extended time in the stirrups. Based on an interpretation of these findings, the nurse would be especially alert for which of the following?
 
  A) Retained placental fragments
  B) Hypertension
  C) Thrombophlebitis
  D) Uterine subinvolution

Question 2

Which instructions would the nurse include when teaching a woman with pediculosis pubis?
 
  A) Take the antibiotic until you feel better.
  B) Wash your bed linens in bleach and cold water.
  C) Your partner doesn't need treatment at this time.
  D) Remove the nits with a fine-toothed comb.

[tuwy]

Answer to Question 1

C
Response:
The woman is at risk for thrombophlebitis due to the prolonged second stage of labor, necessitating an increased amount of time in bed, and venous pooling that occurs when the woman's legs are in stirrups for a long period of time. These findings are unrelated to retained placental fragments, which would lead to uterine subinvolution, or hypertension.

Answer to Question 2

D
Response:
The nurse should instruct the client to remove the nits from the hair using a fine-toothed comb. Permethrin cream and lindane shampoo are used as treatment, not antibiotics. Bedding and clothing should be washed in hot water to decontaminate it. Sexual partners should be treated also, as well as family members who live in close contact with the infected person.