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 identify as 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

3. A nurse is providing teaching about the expected effects of magnesium sulfate to a

client who is at 28 weeks of gestation and has preeclampsia. Which of the following

responses by the nurse is appropriate?

a) “This medication improves tissue perfusion.”

b) “This medication increases cardiac output.”

c) “This medication stabilizes the fetal heart rate.”

d) “This medication prevents seizures.”

i. Depresses CNS. (Pg 61) ATI Maternal newborn 2