Complications of Postpartum

Complications of Postpartum Related

Review Complications of Postpartum related questions and content

The nurse is admitting a 38-year-old patient to triage in early labor with ruptured membranes. Her history includes a previous vaginal delivery 4 years ago and the presence of a uterine fibroid. What interventions are appropriate based on the hemorrhage risk for this patient?

  • A. The patient is a moderate hemorrhage risk, so a type and screen should be ordered.
  • B. The patient is a high hemorrhage risk, so 4 units of packed red blood cells should be ordered.
  • C. The patient is a low hemorrhage risk, so a hold tube should be drawn.
  • D. The patient is a moderate hemorrhage risk, but blood is not drawn at this time.
Correct Answer: A

Rationale: Step 1: The patient is in early labor with ruptured membranes, which increases the risk of hemorrhage.
Step 2: The presence of a uterine fibroid also contributes to the hemorrhage risk.
Step 3: Previous vaginal delivery 4 years ago does not significantly alter the hemorrhage risk.
Step 4: Ordering a type and screen will allow for rapid access to blood products if needed in case of hemorrhage.
Step 5: This is a moderate hemorrhage risk situation, warranting the need for preparing for potential blood transfusion.
Summary:
- Choice B is incorrect as ordering 4 units of packed red blood cells is excessive for a moderate hemorrhage risk.
- Choice C is incorrect as a hold tube will not provide immediate access to blood products in case of hemorrhage.
- Choice D is incorrect as blood should be drawn to be prepared for potential hemorrhage in a moderate risk situation.

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The nurse is aware the greatest source of bleeding during childbirth occurs following detachment of the placenta. Which physiological change takes place immediately after the expulsion of the placenta to decrease the amount of blood loss?

  • A. Contractions of the uterine myometrium
  • B. Factor VIII complex increases during gestation
  • C. Platelet activity increases before labor and delivery
  • D. Fibrin formation increases before the birth occurs
Correct Answer: A

Rationale: The correct answer is A: Contractions of the uterine myometrium. After the placenta is expelled, the uterine myometrium contracts, causing compression of blood vessels at the site of placental detachment, which helps to decrease blood loss. This contraction also helps to close off blood vessels and reduce the risk of postpartum hemorrhage.

Summary of other choices:
B: Factor VIII complex increases during gestation - Factor VIII is involved in blood clotting, but its increase during gestation is not directly related to decreasing blood loss after placental expulsion.
C: Platelet activity increases before labor and delivery - While platelet activity is important for blood clotting, the increase before labor and delivery does not specifically address the immediate decrease in blood loss after placental expulsion.
D: Fibrin formation increases before the birth occurs - Fibrin formation is part of the clotting process, but its increase before birth does not directly address the immediate decrease in blood loss post

What is the most common reason for cracked, sore nipples?

  • A. hungry infant
  • B. pumping
  • C. ineffective latch
  • D. lack of supportive bra
Correct Answer: C

Rationale: Ineffective latch causes sore nipples in breastfeeding mothers.

A physician has ordered an iron supplement for a postpartum woman. The nurse strongly suggests that the woman take the medicine with which of the following drinks?

  • A. Skim milk.
  • B. Ginger ale.
  • C. Orange juice.
  • D. Chamomile tea.
Correct Answer: C

Rationale: Iron absorption is enhanced by vitamin C, and orange juice is rich in vitamin C, making it an appropriate drink to take with the supplement.

The nurse is caring for a client who had an emergency cesarean section, with her husband in attendance, the day before. The baby 's Apgar was 9/9. The woman and her partner had attended childbirth education classes and had anticipated having a water birth with family present. Which of the following comments by the nurse is appropriate?

  • A. Sometimes babies just don 't deliver the way we expect them to.
  • B. With all of your preparations, it must have been disappointing for you to have had a cesarean.
  • C. I know you had to have surgery, but you are very lucky that your baby was born healthy.
  • D. At least your husband was able to be with you when the baby was born.
Correct Answer: B

Rationale: The nurse should acknowledge the emotional impact of an unplanned cesarean section while validating the mother's feelings.

What assessment data increases the risk of postpartum infection?

  • A. precipitous labor
  • B. urinary retention
  • C. breast-feeding
  • D. intact perineum
Correct Answer: A

Rationale: The correct answer is A: precipitous labor. Precipitous labor can cause trauma to the birth canal, leading to increased risk of infection. Urinary retention (B) may lead to urinary tract infections but not necessarily postpartum infections. Breastfeeding (C) and intact perineum (D) are not direct risk factors for postpartum infections.

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