Page 318 - Critical Maternity & Newborn Health Nursing
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Follow Up Activities


                   Scenario II:


                   A 22 years old mother G1 P1, 2 days postpartum and is talking with

                   her nurse about the bleeding she's having, asking, "Will it always be

                   so heavy?



                   Questions from 1 to 3 are based on the above scenario:



                   1. Which answer by the nurse would be the most accurate?

                   a.  This is lochia alba and will last 4 weeks


                   b. This is lochia serosa and will last 2 days.
                   c. This is lochia rubra and will last 3 to 4 days.


                   d. This is your menstrual cycle, and it will last 6 weeks.


                   2. The first and most important nursing intervention when a nurse

                   observes profuse postpartum bleeding is to do what?



                   a. Call the woman's primary health care provider

                   b. Administer the standing order for an oxytocic

                   c. Palpate the uterus and massage it if it is boggy

                   d. Assess maternal blood pressure and pulse for signs of hypovolemic

                   shock


                   3. After 1 week postpartum with retained placental fragments, which

                   finding should alert a nurse of a common complication?

                   a. Puerperal infection

                   b.  Postpartum depression

                   c. Postpartum hemorrhage



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