Postpartum Hemorrhage and Disseminated Intravascular Coagulopathy
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Questions and Answers

What is the primary intervention for excessive postpartum bleeding?

  • Replace fluids intravenously
  • Perform a bimanual massage (correct)
  • Administer blood products
  • Encourage frequent voiding

    • Which of the following assessments is most important during an acute postpartum hemorrhage episode?

  • Monitoring vital signs
  • Checking fundal tone and placement
  • Assessing level of consciousness
  • All of the above (correct)

    • What is the purpose of elevating the client's legs during postpartum hemorrhage?

  • To improve venous return and blood pressure (correct)
  • To prevent blood clots
  • To facilitate bimanual massage
  • To assist with voiding

    • Which of the following interventions may be necessary if postpartum hemorrhage persists?

    <p>All of the above</p> Signup and view all the answers

    What is the expected appearance of lochia in an uncomplicated postpartum period?

    <p>Red, moderate in amount, with clots up to the size of a quarter</p> Signup and view all the answers

    Which of the following is NOT a nursing responsibility during postpartum hemorrhage?

    <p>Performing bimanual massage</p> Signup and view all the answers

    Which of the following is NOT a predisposing factor for disseminated intravascular coagulopathy (DIC)?

    <p>Gestational diabetes</p> Signup and view all the answers

    Which of the following statements about subinvolution is true?

    <p>It is commonly diagnosed during the postpartum exam at 4 to 6 weeks after childbirth.</p> Signup and view all the answers

    Which of the following is NOT a nursing priority when assessing a client for postpartum hemorrhage?

    <p>Calculating the client's body mass index (BMI)</p> Signup and view all the answers

    Which of the following statements about postpartum hemorrhage is true?

    <p>Vaginal lacerations can occur in the presence of a firm uterus.</p> Signup and view all the answers

    Which of the following is a potential initial nursing intervention for postpartum hemorrhage?

    <p>Massaging the uterus gently but firmly</p> Signup and view all the answers

    Which of the following statements about postpartum hemorrhage is false?

    <p>Postpartum hemorrhage only occurs immediately after childbirth and not in the late postpartum period.</p> Signup and view all the answers

    Which of the following is a predisposing factor for postpartal urinary retention?

    <p>Decreased bladder sensitivity from stretching or trauma</p> Signup and view all the answers

    What is the primary contributing factor for thromboembolitic disorders in the postpartal period?

    <p>Increased amount of blood clotting factors</p> Signup and view all the answers

    Which type of thromboembolic disorder is more common after a cesarean birth?

    <p>Septic pelvic thrombophlebitis</p> Signup and view all the answers

    Which of the following is a predisposing factor for thromboembolitic disorders in the postpartal period?

    <p>All of the above</p> Signup and view all the answers

    What is a common symptom of deep vein thrombosis (DVT) in the postpartal period?

    <p>Edema of the ankle and leg</p> Signup and view all the answers

    Which of the following statements about septic pelvic thrombophlebitis is true?

    <p>It is characterized by abdominal or flank pain with guarding</p> Signup and view all the answers

    Which of the following nursing interventions is recommended for women with varicosities during the postpartal period?

    <p>Evaluate the need for support hose</p> Signup and view all the answers

    What is a common sign of pulmonary embolism that may result from deep vein thrombosis (DVT) or septic pelvic thrombophlebitis?

    <p>Both dyspnea and chest pain</p> Signup and view all the answers

    Which of the following is a priority nursing diagnosis for a woman with a thromboembolic disorder in the postpartal period?

    <p>All of the above</p> Signup and view all the answers

    What is the recommended nursing intervention for monitoring a woman diagnosed with deep vein thrombosis (DVT) in the postpartal period?

    <p>Monitor for signs of pulmonary embolism</p> Signup and view all the answers

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