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A woman who is 12 hours postpartum had a pulse rate around 80 beats per minute during pregnancy. Now, the nurse finds a pulse of 60 beats per minute. Which of these actions should the nurse take?


A) Document the finding, as it is a normal finding at this time.
B) Contact the physician, as it indicates early DIC.
C) Contact the physician, as it is a first sign of postpartum eclampsia.
D) Obtain an order for a CBC, as it suggests postpartum anemia.

E) A) and B)
F) C) and D)

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Which of the following factors in a client's history would alert the nurse to an increased risk for postpartum hemorrhage?


A) Multiparity, age of mother, operative delivery
B) Size of placenta, small baby, operative delivery
C) Uterine atony, placenta previa, operative procedures
D) Prematurity, infection, length of labor

E) A) and D)
F) All of the above

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A postpartum client has a fourth-degree perineal laceration. The nurse would expect which of the following medications to be ordered?


A) Ferrous sulfate (Feosol)
B) Methylergonovine (Methergine)
C) Docusate (Colace)
D) Bromocriptine (Parlodel)

E) B) and C)
F) A) and B)

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After teaching a postpartum woman about breast-feeding, the nurse determines that the teaching was successful when the woman states which of the following?


A) "I should notice a decrease in abdominal cramping during breast-feeding."
B) "I should wash my hands before starting to breast-feed."
C) "The baby can be awake or sleepy when I start to feed him."
D) "The baby's mouth will open up once I put him to my breast."

E) A) and D)
F) B) and C)

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