Test Question!!!

  1. Hey.....thanx for your reply.....The test 2day I feel went well.....6 months, I got that right.......I have a couple of ?'s from the test that we (classmates) argued after............

    Question: A mother is in postpartum, 12 hrs ago she delivered, but has no lochia?

    Options:
    1.) call the Obstretrician
    2.) check BP q15min.
    3.) it's normal
    4.) I can't remember that one..........

    I chose option 1 because is may be a hemorrhage that preventing lochia.......my classmates chose 2.......what do u think?

    Question: A mother is in PP, 24 hours ago she delivery, the pillow and sheets are soaked with sweat and she is urinating ok. what should the nurse do?

    Options:
    1.) call Dr.
    2.) nothing, this is normal
    3.) push fluids because is may become dehydrated
    4.) I forgot that option

    I chose 3 because soaking wet sheets i don't think is normal.........and she's losing everything.......my classmates chose option #2.......they claim it's normal........

    Somebody please resolve this argument................
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  2. 10 Comments

  3. by   shay
    Question # 1 the answer is 1, question #2 the answer is 3.

    Question 1, no, it's not a hemmorhage that's causing no lochia. Probably a clot occluding the os of the cervix preventing lochia from passing out.

    Question 2, I'd probably check vs (esp. temp) and push fluids, maybe start an IV if she were feeling icky. Probably call the doc. Hormonal shifts and swings can cause excess sweating, but this seems a little extreme.
  4. by   peaceful2100
    Ok, I have a question and for number 2. Why would it be answer # 3 and not #2. I am a junior nursing student and we have OB/Peds clinical and lecture content this semester and during the postpartum lecture the instructor emphasized that it is normal for a woman's sheets and gown to be soaked because she is having postpartal diaphoresis which is normal because she is getting rid of excess fluid and waste products. That was the way I learned it.
  5. by   HPlayBoyU
    the way the question seemed, it seemed like they exaggerated the sweating......for someone to be sweating so much.....post partum, not labor.......with the sheets and pillow wet......that just doesn't seem normal to me.......can a ob-gyn nurse help me???.......
  6. by   HPlayBoyU
    is cryopreciptate a drug used for DIC to aid in clotting??? or packed RBC???
  7. by   shay
    Originally posted by HPlayBoyU
    the way the question seemed, it seemed like they exaggerated the sweating......for someone to be sweating so much.....post partum, not labor.......with the sheets and pillow wet......that just doesn't seem normal to me.......can a ob-gyn nurse help me???.......
    I am an OB-GYN nurse. Yes, it seems a bit excessive.
  8. by   shay
    Originally posted by peaceful2100
    Ok, I have a question and for number 2. Why would it be answer # 3 and not #2. I am a junior nursing student and we have OB/Peds clinical and lecture content this semester and during the postpartum lecture the instructor emphasized that it is normal for a woman's sheets and gown to be soaked because she is having postpartal diaphoresis which is normal because she is getting rid of excess fluid and waste products. That was the way I learned it.
    It's possible....however, most women who do the postpartum sweat thing don't soak the sheets AND the pillow case, they just pee a lot...A LOT. lol! The times I saw the sheets/pillow case drenching thing, it was a fever breaking or revving up. I'd check her vs always to be safe. Just me.
  9. by   HPlayBoyU
    You are right Shay......alot of women do sweat......it's just that the exaggeration made the answer seem what it was.......do you know about the last question I asked.....about cryoprecipitate???
  10. by   shay
    You know, to be quite honest, I've never used cryoprecipitate, so I'm not exactly sure what it's exact function is. Try asking around in general nursing discussion or ER nursing...I'm sure more of the med-surg and ER nurses have probably used it.
  11. by   peaceful2100
    Thanks shay for telling me. The OB instructor told us that sometimes it is normal for a postpartum woman to be drenching and sweating excessively just as long as she don't have a fever than there is nothing to be concerned about.
  12. by   ERNurse752
    I've never used cryo personally...
    It's made up of clotting factors and fibrinogen, so it could conceivably be used for DIC, along with PRBC's.

    People in DIC are usually being given some kind of anticoagulation as well, usually Heparin, based on what I've seen.

    The main thing with DIC is that you want to treat the cause. Ex, if sepsis is the cause, you need to treat the sepsis as well, or the cascade is going to continue, no matter how much blood/fluids etc you give.


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