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The 4 "T"s serve as a reminder of factors associated with PPH - answer-tone, trauma, tissue, and
thrombin. A lack of uterine tone (atony) and genital tract trauma are the most common conditions that
cause postpartum hemorrhage
The perinatal nurse is providing care to several postpartum patients. Which patient is at the greatest risk
for the development of puerperal infection? - answer-Ceasarean birth with prolonged labor
During the physical examination, the perinatal nurse checks the newborn's heart rate. Which location is
the most appropriate for the nurse to use when conducting this assessment? - answer-At the base of the
umbilical cord
The perinatal nurse assesses a pregnant woman who is at 35 weeks gestation. The client states that she
has experienced vaginal bleeding for the last 30 minutes. Which vital sign is the priority for the nurse to
assess based on this data? - answer-Fetal heart rate
The nurse is providing care to several newborns in the nursery. Which newborn is ready for the
metabolic screening? - answer-The newborn who has been feeding for 28 hours after birth
Approximately 24 hours following birth, a small sample of blood is taken from the infant's heel and
placed on special filter paper. A blood sample taken before 24 hours of age may be unreliable in
detecting several conditions. However, if the newborn is discharged from the hospital or birthing center
before completing the first 24 hours of life, a sample must be obtained, and the infant's parents must be
instructed to contact the physician within 2 weeks to arrange to have another specimen drawn.
The perinatal nurse is facilitating a class for new mothers who are interested in breastfeeding. Which
hormone does the nurse include as one that is responsible for the system of milk-secreting glands and
increased vascularity that prepares the breast for breastfeeding? - answer-Estrogen
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