Author Question: In caring for an immediate postpartum patient, you note petechiae and oozing from her IV site. You ... (Read 67 times)

RYAN BANYAN · **on:** Jun 27, 2018

In caring for an immediate postpartum patient, you note petechiae and oozing from her IV site. You would monitor her closely for the clotting disorder:

1. disseminated intravascular coagulation.
2. amniotic fluid embolism.
3. hemorrhage.
4. HELLP syndrome.

Question 2

Concerning the initial physical exam of a woman beginning prenatal care, maternity nurses should be aware that:

1. only women who show physical signs or meet the sociologic profile should be assessed for physical abuse.
2. the woman's bladder should be empty before pelvic examination.
3. distribution, amount, and quality of body hair are of no particular importance.
4. size of the uterus is discounted in the initial exam because it is just going to get bigger soon.

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

Answer to Question 1

1
1. Correct. The diagnosis of DIC is made according to clinical findings and laboratory markers. Physical examination reveals unusual bleeding. Petechiae may appear around a blood pressure cuff on the woman's arm. Excessive bleeding may occur from the site of a slight trauma such as venipuncture sites.
2. Incorrect. These symptoms are not associated with AFE, nor is AFE a bleeding disorder.
3. Incorrect. Hemorrhage occurs for a variety of reasons in the PP patient. These symptoms are associated with DIC. Hemorrhage would be a finding associated with DIC and is not a clotting disorder in and of itself.
4. Incorrect. HELLP is not a clotting disorder, but may contribute to the clotting disorder DIC.

Answer to Question 2

2
1. Incorrect. All women should be assessed for a history of physical abuse, particularly be-cause the likelihood of abuse increases during pregnancy.
2. Correct. An empty bladder aids in examination, plus it offers an easy opportunity to get a urine sample for a number of tests.
3. Incorrect. Body hair is important to note because it reflects nutritional status, endocrine function, and hygiene.
4. Incorrect. Particular attention is paid to the size of the uterus because it is an indication of the duration of gestation.