Author Question: A nurse has just received the intershift report. After reviewing the client assignment and the ... (Read 25 times)

corkyiscool3328 · **on:** Jul 22, 2018

A nurse has just received the intershift report. After reviewing the client assignment and the appropriate medical records, the nurse determines that which of the following clients is most at risk for developing postdelivery endometritis?

1. A primigravida with a normal spontaneous vaginal delivery
2. A gravida II who delivered vaginally following an 18-hour labor
3. A client experiencing an elective cesarean delivery at 38 weeks' gestation
4. An adolescent experiencing an emergency cesarean delivery for fetal distress

Question 2

A nurse is collecting data on a pregnant client in the first trimester of pregnancy whose medical record indicates the presence of iron deficiency anemia.

The nurse would monitor the client to detect which of the following signs indicating that this problem has not yet resolved? 1. Increased vaginal secretions
2. Pink mucous membranes
3. Complaints of increased frequency of voiding
4. Complaints of daily headaches and fatigue

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

Answer to Question 1

4

Rationale: Endometritis is an acute infection of the uterine mucous lining immediately after de-livery and is still a leading cause of mortality for childbearing women in the United States. Ce-sarean delivery is the primary risk factor for uterine infection, especially after emergency proce-dures. Other risk factors include prolonged rupture of membranes, multiple vaginal examinations, and an excessive length of labor. The other options do not describe the client most at risk to develop endometritis following delivery.

Answer to Question 2

4

Rationale: Anemia is one of the most common problems in pregnancy, and iron deficiency ane-mia and folic acid deficiency anemia are two of the most common types. It is estimated that be-tween 20 and 60 of all women are anemic at some point during pregnancy (hemoglobin concentration lower than 10.5 to 11.0 g/dL). Complaints of daily headaches and fatigue are ab-normal findings and may reflect complications caused by decreased O2 supply to vital organs, thus supporting laboratory findings. The incorrect options are expected findings in the first tri-mester of pregnancy.