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A nurse is performing a fundal assessment for a client who is 2 days postpartum and observes
the perineal pad for loch. She notes the pad to be saturated approximately 12 cm with loch that
is bright red and contains small slots. Which of the following findings should the nurse
document?
A. Moderate lochia rubra
B. Excessive blood loss
C. Light lochia rubra
D. Scant lochia serosa - ANS ✔✔a.
during ambulation to the bathroom, a postpartum client experiences a gush of dark red blood
that soon stops. on assessment, a nurse finds the clients uterus to be firm, midline, and at the
level of the umbilicus. The nurse interprets this finding as
a. evidence of a possible vaginal hematoma
b. an indication of a cervical or perineal laceration
c. a normal postural discharge of lochia
, d. abnormally excessive lochia rubra flow - ANS ✔✔c
a nurse is assessing a postpartum client for fundal height, location , and consistency. the fundus
is noted to be displaced laterally to the right, and there is uterine atony. the nurse should
identify which of the following conditions as the cause of uterine atony?
a. poor involution
b. urinary retention
c. hemorrhage
d. infection - ANS ✔✔b
a nurse concludes that the father of an infant is not showing positive signs of parent-infant
bonding. he appears very anxious and nervous when the mother asks him to bring her the
infant. which of the following actions should the nurse use to promote bonding?
a. hand the father the infant and suggest that he change her diaper
b. ask the father why he is so anxious and nervous
c. tell the father that he will grow accustomed to the infant
d. provide education about infant care when the father is present - ANS ✔✔d