A G2 TPAL 2002 patient experienced a precipitous birth 90 minutes ...

[michelleunicorn]

A G2 TPAL 2002 patient experienced a precipitous birth 90 minutes ago. Her infant weighed 4,200 g, and a repair of a second-degree laceration was needed following the birth.
 
  The nurse assesses that the patient's uterus is boggy and deviated to the right. The patient's vaginal bleeding has increased. Which action by the nurse takes priority?
  A.
  Assess the vital signs, including blood pressure and pulse.
  B.
  Call the health-care provider to examine the woman now.
  C.
  Massage the uterine fundus with continual lower-segment support.
  D.
  Measure and document each used perineal pad to assess blood loss.

Question 2

The perinatal nurse routinely screens pregnant women for postpartum depression. Which woman does the nurse screen as the priority?
 
  A.
  Adolescent
  B.
  Age 35 years or older
  C.
  Ambivalent at first visit
  D.
  First pregnancy

[dominiqueenicolee]

Answer to Question 1

ANS: C
As the primary caregiver, the registered nurse may be the first person to identify excessive blood loss and to initiate immediate actions. While another member of the team calls the physician or nurse-midwife, the nurse should first locate the uterine fundus and initiate fundal massage.

Answer to Question 2

ANS: A
Recognized risk factors for postpartum depression include an undesired/unplanned pregnancy, a history of depression, recent major life changes such as the death of a family member, moving to a new community, lack of family or social support, financial stress, marital discord, adolescent age, and homelessness. Ambivalence is not unusual, especially in the first trimester. First pregnancy is not a risk factor.

[michelleunicorn]

Excellent

[dawsa925]

TYSM