Nurs 3610 Quiz 2 Study Guide Rated A+

A nurse is assessing a client who is 8 hr postpartum and multiparous. Which of the following findings should alert the nurse to the client's need to urinate? A. Moderate lochia rubra B. Fundus three fingerbreadths above the umbilicus C. Moderate swelling of the labia D. Blood pressure 130/84 mmHg {Ans: B. Fundus three fingerbreadths above the umbilicus A full bladder can raise the level of uterine fundus and possibly deviate it to the side.}A nurse is caring for a client who has just delivered a newborn. The nurse notes secretions bubbling out of the newborn's nose and mouth. Which of the following actions is the nurse's priority? A. Suction the nose with a bulb syringe. B. Suction the mouth with a bulb syringe. C. Use a suction catheter with low negative pressure. D. Turn the newborn on his side. {Ans: B. Suction the mouth with a bulb syringe. The greatest risk to the newborn is aspiration of secretions. Removing the secretions from the mouth first is the priority action.}A nurse is caring for a newborn delivered by vaginal birth with a vacuum assist. The newborn's mother asks about the swollen area on her son's head. After palpation