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Exam NCLEX-RN topic 1 question 14 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 14
Topic #: 1
[All NCLEX-RN Questions]

Which of the following findings would be abnormal in a postpartal woman?

  • A. Chills shortly after delivery
  • B. Pulse rate of 60 bpm in morning on first postdelivery day
  • C. Urinary output of 3000 mL on the second day after delivery
  • D. An oral temperature of 101F (38.3C) on the third day after delivery
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Suggested Answer: D 🗳️
(A) Frequently the mother experiences a shaking chill immediately after delivery, which is related to a nervous response or to vasomotor changes. If not followed by a fever, it is clinically innocuous. (B) The pulse rate during the immediate postpartal period may be low but presents no cause for alarm. The body attempts to adapt to the decreased pressures intra-abdominally as well as from the reduction of blood flow to the vascular bed. (C) Urinary output increases during the early postpartal period (1224 hours) owing to diuresis. The kidneys must eliminate an estimated 20003000 mL of extracellular fluid associated with a normal pregnancy. (D) A temperature of 100.4F (38C) may occur after delivery as a result of exertion and dehydration of labor. However, any temperature greater than
100.4F needs further investigation to identify any infectious process.

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cba5b06
2 months, 1 week ago
D. An oral temperature of 101°F (38.3°C) on the third day after delivery. A temperature of 101°F (38.3°C) may indicate an infection, such as endometritis or a urinary tract infection, and should be evaluated further. The other findings (chills, a pulse of 60 bpm, and increased urinary output) are typically normal postpartum responses.
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Crysie
1 year, 2 months ago
Answer D
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izhaak
1 year, 4 months ago
ANSWER D
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HusseinKeyow
1 year, 4 months ago
Answer D
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Thapaliya
1 year, 5 months ago
Answer D
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