Elsevier Adaptive Quizzing_Pregnancy, Labor, Childbirth, Postpartum_ Uncomplicated(NURS 158)

Which statements regarding the involution process are correct? Select all that apply. One, some, or all responses may be correct. Some correct answers were not selected Involution begins immediately after expulsion of the placenta. Involution is the self-destruction of excess hypertrophied tissue. 7/13/2021 Elsevier Adaptive Quizzing - Quiz performance Rationale The involution process is the return of the uterus to a nonpregnant state after birth; it begins immediately after expulsion of the placenta and contraction of the uterine smooth muscle. This process progresses rapidly during the first few days after birth. Subinvolution is the self-destruction of excess hypertrophied tissue; this process may be caused by retained placental fragments or infection. Which laboratory test is conducted during the initial prenatal visit? Select all that apply. One, some, or all responses may be correct. Rationale During the initial prenatal visit, a cervical culture for N. gonorrhoeae is obtained. A 1- hour glucose tolerance test is completed at 24 to 28 weeks of gestation. A 3-hour glucose tolerance test is completed if a pregnant client fails the 1-hour glucose tolerance test. A chest x-ray is required after 20 weeks of gestation if the client has a positive TST. Vaginal and anal cultures for GBS are obtained at 35 to 37 weeks of gestation. When the fetal monitor is applied to a client’s abdomen, it records late Involution progresses rapidly during the next few days after birth. Involution is the return of the uterus to a nonpregnant state after birth. Involution may be caused by retained placental fragments and infections. 1-hour glucose tolerance test 3-hour glucose tolerance test Cervical culture for Neisseria gonorrhoeae Chest x-ray for a positive tuberculosis skin test (TST) Group beta streptococcus (GBS) vaginal and anal cultures 7/13/2021 Elsevier Adaptive Quizzing - Quiz performance decelerations. Which action would the nurse take? Rationale Late decelerations may indicate impaired placental perfusion. Turning the client on her left side relieves pressure on the vena cava and aorta, improving circulation to the placenta. Calling the health care provider is premature. The nurse should notify the practitioner if late decelerations continue after nursing interventions are implemented. Elevating the head of the bed will increase pressure on the vena cava and aorta, further reducing placental perfusion. Oxygen may be administered if placing the client on her left side does not resolve the late decelerations. Which type of lochia would the visiting nurse expect to observe on a client’s pad on the fourth day after a vaginal delivery? Rationale The uterus sloughs off the blood, tissue, and mucus of the endometrium postdelivery. This happens in 3 stages that will vary in length and represent the normal healing of the endometrium. Lochia rubra is the first and heaviest stage of lochia. The blood that is expelled during lochia rubra will be bright red and may contain blood clots. The