Author Question: The patient delivered 30 minutes ago. Her blood pressure and pulse are stable. Vaginal bleeding is ... (Read 37 times)

cherise1989 · **on:** Jun 27, 2018

The patient delivered 30 minutes ago. Her blood pressure and pulse are stable. Vaginal bleeding is scant. The nurse should prepare for which procedure?

1. Abdominal hysterectomy
2. Manual removal of the placenta
3. Repair of perineal lacerations
4. Foley catheterization

Question 2

The patient with polycystic ovarian syndrome (PCOS) has been prescribed metformin (Glucophage). The nurse tells the patient This medication will: Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Select all that apply. 1. Decrease your excessive hair growth.
2. Make it easier to lose weight.
3. Increase your acne.
4. Improve your chances of pregnancy.
5. Make your menstrual periods irregular.

Tonyam972 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2
Rationale 1: Abdominal hysterectomy is not required.
Rationale 2: Retained placenta is the lack of placental delivery within 30 minutes of birth. Manual removal of the placenta is then performed.
Rationale 3: Repair of perineal lacerations would not ensue until after the placenta was delivered.
Rationale 4: There is no indication of urinary retention that requires a Foley catheter.

Answer to Question 2

1,2,4
Rationale 1: Polycystic ovarian syndrome (PCOS) treatment with metformin decreases hirsuitism.
Rationale 2: Polycystic ovarian syndrome (PCOS) treatment with metformin improves weight loss success.
Rationale 3: Polycystic ovarian syndrome (PCOS) treatment with metformin decreases acne.
Rationale 4: Polycystic ovarian syndrome (PCOS) treatment with metformin increases ovulation and therefore menstrual regularity and fertility.
Rationale 5: Polycystic ovarian syndrome (PCOS) treatment with metformin increases ovulation and therefore menstrual regularity and fertility.