44.  Postpartum Hemorrhage Phase 1. Recognize cues Marti, a 30-year-old, gave birth to twins at 37 weeks of gestation after being induced with IV oxytocin for preeclampsia. This is Marti’s fourth pregnancy; she has three children, ages 2, 4, and 6. The first twin was delivered spontaneously, but forceps were used to deliver the second one. She had a second-degree laceration, which was repaired. Her estimated blood loss was 400 ml. Marti is now 8 hours postpartum. She is on IV magnesium sulfate at 1 g/hour and has a Foley catheter in place. Postpartum oxytocin was discontinued at the 6-hour postpartum check as her fundus was firm and located 1 cm above the umbilicus, and lochia rubra was moderate. Highlight the factors that place Marti at risk for excessive postpartum bleeding. Phase 2. Generate solutions The nurse performs a postpartum assessment on Marti. Her fundus is boggy and located 2 cm above the umbilicus. The nurse massages the fundus, and it remains boggy. The peripad is completely soaked. More lochia is noted on the underpad. Marti says she feels weak and is worried that something is wrong. Vital signs are BP 110/60, pulse 90, respirations 22, temperature 37.8°C (100.1°F), O2 saturation 95%, and urine output 150 mL since giving birth 8 hours ago. The nurse notifies the health care provider and initiates the unit’s protocol for postpartum hemorrhage (PPH). Which of the following actions are appropriate in the treatment of PPH? Select all that apply.

32. A nurse is reviewing the laboratory results of a client who is at 28 weeks of gestation. For which of the following results should the nurse provide client teaching? Select all that apply Laboratory results Blood Type A negativeHIV negative (negative)Rapid plasma reagin (RPR) negative (negative)Rubella non-immuneHepatitis B negative (negative)Group B streptococcus ß-hemolytic positive (negative)WBC count 9900/mm3 (5000 to 15,000/mm3)Glucose challenge screen 128 g/dL (less than 140 mg/dL)  

30. A nurse is caring for a client who is 7 days postpartum and calls the clinic to report pain and redness of her left calf. Besides seeing her provider, which of the following interventions should the nurse suggest?

NOTE: for full credit, answer all parts of the question and use specifics to illustrate you points. 200 word max. In his article, “Oaxacans like to work bent over,” Seth Holmes uses the concept of structural violence to understand the lived experiences, including health, of Oaxacans working as berry pickers in the Northwestern USA. Please identify two different structures that perpetuate the violence and link them to a specific disease outcome. (Yes…you need to think about that list of structures from lecture and relate them to specific examples from this reading). Precise and specific answers will receive full credit.  Your answer: (a) Structure one/health outcome: (b) Structure two/health outcome:  

Core concepts in evolutionary medicine are integrated into western biomedical training and clinical care.  

  This is a well known Renaissance painting that was not featured in the lecture. It is by Piero della Francesca, titled Flagellation of Christ, created 1468-1470. Apply the list of Renaissance zeitgists to this painting:  Name two zeitgeist influences found in this painting. (2 pts.) Cite the visual evidence you used to conclude that these zeitgeists have influenced this painting. Be sure to clearly state which evidence is being used to support which zeitgeist. (10 pts.)   (While composing your response, note that “Humanism” and “Christian Humanism” are incompatible–mutually exclusive–answers as one is based in religion while the other is secular.) 

Which figure was NOT one of the “Progressive Presidents”?

Measurement of urine specific gravity aids in the evaluation of kidney’s ability to:

Synovial fluid is collected by a procedure called:

Who is the “he” in this quotation from No Sad Songs?: “He had no intention of leaving me to deal with this mess alone.  .  .  always had my back.”