Author Question: Ten minutes after the cutting of the baby's umbilical cord, the nurse observes a sudden gush of ... (Read 74 times)

Chelseaamend · **on:** Jul 22, 2018

Ten minutes after the cutting of the baby's umbilical cord, the nurse observes a sudden gush of blood, a lengthening of the cord at the vaginal orifice, and that the uterus has assumed a more globular shape. These signs are MOST indicative of:

a. hemorrhage due to uterine atony c. multiple birth
b. inversion of the uterus d. placental separation

Question 2

A client who has myasthenia gravis (MG) has all of the following nursing diagnoses. Which would reflect the greatest threat to the client?

a. Risk for aspiration
b. Impaired verbal communication
c. Knowledge deficit related to disease process
d. Altered urinary elimination

ecox1012 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
Upon delivery of the fetus, complications may include a sudden gush of blood, a lengthening of the cord at the vaginal orifice, and that the uterus has assumed a more globular shape, indicating placental separation.

Answer to Question 2

A
Nursing care of clients who have MG includes monitoring respiratory status, preventing aspiration, and teaching about living with the disease (e.g., avoiding excessive activity, eating a snack before taking medications to minimize gastrointestinal irritation).