1.A nurse is caring for a client who is 2 weeks

postpartum following a cesarean birth. Which of

the following clinical findings should the nurse

identifyas an indication of postpartum infection?

a. Unilateral breast pain

i. Mastitis - painful or tender localized hard mass and

reddened area, usually on one breast. (Pg. 143)

b. Persistent abdominal striae

i. Stretch marks - expected finding

c. Lochia alba

i. Lasts approx day 11 up to 4-8 weeks post-birth

d. WBC count 12,000/mm3

2. A nurse is assessing client who

has preeclampsia during a prenatal visit. Which of

the following findings should the nurse report to the

provider?

a. Blood glucose 110 mg/dL

b. Deep tendon reflexes of 2+

c. Urine protein of 3+

i. Severe preeclampsia: consists of blood pressure that

is 160/110 mmHg or greater, proteinuria greater

than 3+, oliguria, elevated serum creatinine greater

than 1.1 mg/dL, cerebral or visual disturbances

(headache and blurred vision), hyperreflexia with

possible ankle clonus, pulmonary or cardiac

involvement, extensive peripheral edema, hepatic

dysfunction, epigastric and right upper-quadrant pain,

and thrombocytopenia. (pg. 60)

d. Hemoglobin 13 g/dL