13. A nurse is collecting data from a postpartum client and finds that their is pooling of blood on the sheets and blood clots the size of a half dollar. Which of the following is the priority action for the nurse to take?

19.  The nurse is performing an assessment on a postpartum patient and notes the perineal area to be ecchymotic and edematous.  Which of the following interventions is priority related to this finding? 

20. A postpartum nurse has received report on each of the following mothers and babies.  Based on the report provided, which of the following would the nurse assess first? 

21. A client in the 4th stage of labor is experiencing a large amount of lochia rubra.  It is determined her uterus is boggy.  Which of the following assessments will the nurse perform first related to this finding? 

44.  A nurse is collecting data on a client 5 hr postpartum for deep vein thrombosis. What are the manifestations to look for in this assessment? Select all that apply.

45.  A nurse is educating a group of newly licensed nurses on the importance of vaccines. Which of the following is the most important person to be vaccinated against tetanus, diphtheria, and acellular pertussis at the time of discharge? Select all that apply. 

 11.  A nurse is preparing to administer dextrose 5% in water IV to infuse at 50 mL/60 min. The drop factor on the manual IV tubing is 60 gtt/mL. The nurse should set the IV flow rate to deliver how many gtt/min? (Round to the nearest whole number.)

7. A patient who is experiencing a postpartum hemorrhage is admitted to the unit.  The physician has ordered 2 U PRBC.  Twenty minutes into the infusion the patient begin states “I do not know what is wrong but my chest is hurting really bad.”  Which of the following is a priority?

12. A nurse is assisting with the care of a patient with postpartum psychosis. Which of the following actions is the nurse’s priority? 

17.  A 40-year-old postpartum patient has experienced a fourth-degree laceration.  In preparation for her care, the nurse understands this to mean which of the following?