A nurse is assigning care of postpartum patients to a licensed ...

[Caiter2013]

A nurse is assigning care of postpartum patients to a licensed vocational nurse (LVN). Which postpartum patient is at the greatest risk for postpartum bleeding from uterine atony, and should not be delegated to an LVN's care?
 
  1. A breastfeeding postpartum patient
  2. A postpartum patient who began early ambulation
  3. A patient who delivered vaginally after a prolonged labor
  4. A primiparous patient

Question 2

The nurse is caring for a client in the clinic whom she suspects has vaginosis. Which test best determines whether this sexually active woman has the disorder?
 
  1. The observation of mycelia upon direct microscopy in a 10 potassium hydroxide preparation
  2. The addition of a 10 potassium hydroxide solution to the vaginal secretions
  3. A vaginal pH of less than 4.5
  4. A Gram stain positive for the fungus

[Benayers]

Answer to Question 1

3
Rationale 1: A breastfeeding patient would be at less risk for postpartum hemorrhage, and would be appropriate to delegate to an LVN's care.
Rationale 2: A postpartum patient who ambulates early would be at less risk for postpartum hemorrhage, and would be appropriate to delegate to an LVN's care.
Rationale 3: The patient at greatest risk for postpartum hemorrhage because of uterine atony is the patient who had a prolonged labor.
Rationale 4: A primiparous patient would be at less risk for postpartum hemorrhage, and would be appropriate to delegate to an LVN's care.

Answer to Question 2

2
Explanation: 2. Adding a 10 potassium hydroxide solution to the vaginal secretion of a client with bacterial vaginosis, called a whiff test, produces a fishy smell.