Author Question: During change of shift report, the nurse hears the following information on a newly delivered ... (Read 26 times)

charchew · **on:** Jun 28, 2018

During change of shift report, the nurse hears the following information on a newly delivered client:

27 years old, married, G4 P3, 8 hours postspontaneous vaginal delivery over 3 laceration, vitals110/70, 98.6F, 82, 18, fundus firm at umbilicus, moderate lochia, ambulated to bathroom to void three times, breastfeeding every 2 hours. Which of the following nursing diagnoses should the nurse include in this client's nursing care plan?
A) Fluid volume deficit
B) Impaired skin integrity
C) Impaired urinary elimination
D) Ineffective breastfeeding

Question 2

The perinatal nurse describes the need for an assessment for deep vein thrombosis in the postpartum patient. The test is described as:

A) Homans' sign: extended legs, flexed knees followed by dorsiflexion of the foot
B) Homans' sign: flexed legs, flexed knees followed by foot extension
C) Chadwick's sign: extended legs, flexed knees, followed by dorsiflexion of the foot
D) McBurney's sign: flexed legs, flexed knees followed by foot extension

essyface1 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

B
Impaired skin integrity

Answer to Question 2

A
Homans' sign: extended legs, flexed knees followed by dorsiflexion of the foot