Maternal And Child Health Nursing NCLEX Quiz 13

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When uterine rupture occurs, the priority would be to limit hypovolemic shock. Uterine rupture can lead to severe bleeding, which can result in hypovolemic shock. This is a life-threatening condition where the body loses a significant amount of blood and is unable to circulate enough oxygen to vital organs. By prioritizing the limitation of hypovolemic shock, healthcare providers can focus on stabilizing the patient's condition and preventing further complications.

The primary predisposing factor related to mastitis is breast injury caused by overdistention, stasis, and cracking of the nipples. This is because these conditions can lead to the entry of bacteria into the breast tissue through the cracked nipples, resulting in infection and inflammation. Overdistention and stasis can also impair the normal flow of milk, increasing the risk of infection.

Mechanical factors can be an underlying cause of dystocia. Dystocia refers to difficult or prolonged labor, and mechanical causes can include issues such as abnormal fetal position, large fetal size, or pelvic abnormalities in the mother. These mechanical factors can obstruct the normal progression of labor and result in complications. Nutritional, environmental, and medical factors may also contribute to dystocia, but the mechanical factors specifically relate to physical obstructions during labor.

When umbilical cord prolapse occurs, the nurse's initial action should be to place the client in a knee-chest position in bed. This position helps to relieve pressure on the umbilical cord and prevent further compression, which can lead to fetal distress. It allows gravity to assist in keeping the fetal head off the cord and improves blood flow to the fetus. This action should be taken immediately to ensure the safety and well-being of both the mother and the baby.

The correct answer suggests that the nurse understands that when premature rupture of membranes (PROM) occurs, the fetus loses its most effective defense against infection. This indicates that the nurse recognizes the immediate need to prevent infection in the client and the fetus.

The nurse would expect to find muscle pain, the presence of Homans sign, and swelling in the affected limb if the client develops DVT. Homans sign refers to pain in the calf or popliteal region when the foot is dorsiflexed, which is a classic sign of DVT. Swelling in the affected limb is also a common manifestation of DVT.

The most commonly assessed findings in cystitis include nocturia (frequent urination at night), frequency (frequent urination during the day), urgency (sudden and strong need to urinate), dysuria (painful urination), hematuria (blood in the urine), fever, and suprapubic pain (pain in the lower abdomen). These symptoms are typically seen in patients with cystitis.

Thrombophlebitis refers to inflammation of the vascular endothelium, which is the inner lining of blood vessels, along with the formation of a blood clot on the vessel wall. This condition typically occurs when there is damage to the blood vessel, causing inflammation and the formation of a clot. The clot may partially or completely block the blood flow in the affected vessel. Therefore, the given answer accurately describes thrombophlebitis as inflammation of the vascular endothelium with clot formation on the vessel wall.

Between 50% and 80% of all new mothers report some form of postpartum blues. This means that a significant majority of new mothers experience postpartum blues. The range of 50% to 80% suggests that the exact percentage may vary, but it is clear that a substantial number of new mothers go through this condition.