Page 715 - Saunders Comprehensive Review For NCLEX-RN

3. “I will count the number of perineal pads used on a daily basis
and note the amount and color of blood on the pad.”
4. “I will avoid sexual intercourse until the bleeding has stopped
and for 2 weeks following the last episode of bleeding.”
218. The nurse is planning to admit a pregnant client who is obese. In planning
care for this client, which potential client needs should the nurse anticipate?
Select all that apply.
1. Bed rest as a necessary preventive measure may be

prescribed.
2. Administration of subcutaneous heparin postdelivery as

prescribed.
3. An overbed lift may be necessary if the client requires a
cesarean section.
4. Less frequent cleansing of a cesarean incision, if present, may

be prescribed.
5. Thromboembolism stockings or sequential compression

devices may be prescribed.
219. The nurse is assessing a pregnant client in the second trimester of pregnancy
who was admitted to the maternity unit with a suspected diagnosis of
abruptio placentae. Which assessment finding should the nurse expect to
note if this condition is present?
1. Soft abdomen
2. Uterine tenderness
3. Absence of abdominal pain
4. Painless, bright red vaginal bleeding
220. The maternity nurse is preparing for the admission of a client in the third
trimester of pregnancy who is experiencing vaginal bleeding and has a
suspected diagnosis of placenta previa. The nurse reviews the primary health
care provider’s prescriptions and should question which prescription?
1. Prepare the client for an ultrasound.
2. Obtain equipment for a manual pelvic examination.
3. Prepare to draw a hemoglobin and hematocrit blood sample.
4. Obtain equipment for external electronic fetal heart rate
monitoring.
221. An ultrasound is performed on a client at term gestation who is experiencing
moderate vaginal bleeding. The results of the ultrasound indicate that
abruptio placentae is present. On the basis of these findings, the nurse
should prepare the client for which anticipated prescription?
1. Delivery of the fetus
2. Strict monitoring of intake and output
3. Complete bed rest for the remainder of the pregnancy
4. The need for weekly monitoring of coagulation studies until the
time of delivery
222. The nurse in the postpartum unit is caring for a client who has just delivered
a newborn infant following a pregnancy with placenta previa. The nurse

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