1. In providing care to the postpartum client, the nurse recognizes that women are hypercoagulable during the third trimester of pregnancy and that assessment of this client should include evaluation for the development of venous thromboembolism. Which of the following should be included in this evaluation? (SATA)

1. Observe the distal upper extremities for swelling/edema B. Observe the lower extremities for symmetry

C. Assessment of uterine cramping

D. Observation of respiratory rate and effort E. Auscultation of lung sounds

2. A newborn is prescribed to receive vitamin K 0.5 mg intramuscularly. How should the nurse administer this medication to the newborn?

1. Provide the medication immediately before breastfeeding.

2. Administer the medication into the vastus lateralis.

3. Notify the physician for swelling and irritation at the injection site.

4. Administer the medication in the deltoid muscle.

3. Which technique is used to palpate the fundal height on a postpartum client?

1. Placing one hand on the fundus, one on the perineum

2. Resting both hands on the fundus

3. Palpating the fundus with only fingertip pressure

4. Placing one hand at the base of the uterus, one on the fundus.

4. A nurse is caring for a 4-year-old female. Which of the following is expected of a preschool-aged child?

1. Describing manifestations of illness