Chapter 33: Postpartum Complications ( Test Questions ) Flashcards
(16 cards)
A perinatal nurse is caring for a woman in the immediate postbirth period. Assessment reveals that the client is experiencing profuse bleeding. What is the most likely cause for this bleeding?
a. Uterine atony
What is the primary nursing responsibility when caring for a client who is experiencing an obstetric hemorrhage associated with uterine atony?
b. Performing fundal massage
What is the most common reason for late postpartum hemorrhage (PPH)?
a. Subinvolution of the uterus
Which client is at greatest risk for early PPH?
b. Woman with severe preeclampsia on magnesium sulfate whose labor is being induced
The nurse suspects that her postpartum client is experiencing hemorrhagic shock. Which observation indicates or would confirm this diagnosis?
Urinary output of at least 30 ml/hr
The most effective and least expensive treatment of puerperal infection is prevention. What is the most important strategy for the nurse to adopt?
Strict aseptic technique, including hand washing, by all health care personnel
What is one of the initial signs and symptoms of puerperal infection in the postpartum client?
Temperature of 38° C (100.4° F) or higher on 2 successive days
Nurses need to understand the basic definitions and incidence data regarding PPH. Which statement regarding this condition is most accurate?
Traditionally, PPH has been classified as early PPH or late PPH with respect to birth.
A woman who has recently given birth complains of pain and tenderness in her leg. On physical examination, the nurse notices warmth and redness over an enlarged, hardened area. Which condition should the nurse suspect, and how will it be confirmed?
Thrombophlebitis; using real-time and color Doppler ultrasound
Which classification of placental separation is not recognized as an abnormal adherence pattern?
Placenta Abruptia
Which condition is considered a medical emergency that requires immediate treatment?
a. Inversion of the uterus
Which is the initial treatment for the client with vWD who experiences a PPH?
Desmopressin
What would a steady trickle of bright red blood from the vagina in the presence of a firm fundus suggest to the nurse?
b. Lacerations of the genital tract
If nonsurgical treatment for late PPH is ineffective, which surgical procedure would be appropriate to correct the cause of this condition?
Dilation and curettage (D&C)
Which medications are used to manage PPH? (Select all that apply.)
a. Oxytocin b. Methergine d. Hemabate
Lacerations of the cervix, vagina, or perineum are also causes of PPH. Which factors influence the causes and incidence of obstetric lacerations of the lower genital tract? (Select all that apply.)
a. Operative and precipitate births c. Abnormal presentation of the fetus d. Congenital abnormalities of the maternal soft tissue e. Previous scarring from infection
