Practice Quiz

CNM Certified Nurse Midwife

Category - Postpartum

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A nurse midwife is monitoring a client who gave birth to a healthy baby girl 8 hours ago. No complications were noted during labor. The client has a temperature of 100.4 °F. Which of the following is the next action of the nurse midwife?
  1. Instruct the client to increase her oral fluid intake.
  2. Assess the uterine tone.
  3. Administer an antipyretic.
  4. Assess the number of sanitary pads used for the past 8 hours.
Explanation
Answer: A - The nurse midwife should instruct the client to increase her oral fluid intake. The body temperature commonly increases to up to 38 °C (100.4 ºF) during the immediate postpartum period due to dehydration. Assessing the uterine tone, fundal height and number of sanitary pads used for the past 8 hours are more appropriate actions for a client who is demonstrating signs of postpartum hemorrhage.
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