Author Question: Which finding in the assessment of a client following an abruption placenta could indicate a major ... (Read 94 times)

jparksx · **on:** Jun 28, 2018

Which finding in the assessment of a client following an abruption placenta could indicate a major complication?

a. Urine output of 30 mL in 1 hour
b. Blood pressure of 110/60 mm Hg
c. Bleeding at IV insertion site
d. Respiratory rate of 16 breaths/min

Question 2

What is the priority nursing intervention for the client who has had an incomplete abortion?

a. Methylergonovine (Methergine), 0.2 mg IM
b. Preoperative teaching for surgery
c. Insertion of IV line for fluid replacement
d. Positioning of client in left side-lying position

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

Answer to Question 1

ANS: C
DIC is a life-threatening defect in coagulation that may occur following abruptio placentae. DIC allows excess bleeding from any vulnerable area such as IV sites, incisions, gums, or nose. A urine output of 30 mL in 1 hour, blood pressure of 110/60 mm Hg, and respiratory rate of 16 breaths/min are normal findings in a postpartum client.

Answer to Question 2

ANS: C
Initial treatment of an incomplete abortion should be focused on stabilizing the client's cardiovascular state. Methylergonovine would be administered after surgical treatment, preoperative teaching is not a priority until the client is stabilized, and the left side-lying position provides no benefit to the client in this situation.