22 Questions
What is the primary intervention for excessive postpartum bleeding?
Perform a bimanual massage
Which of the following assessments is most important during an acute postpartum hemorrhage episode?
All of the above
What is the purpose of elevating the client's legs during postpartum hemorrhage?
To improve venous return and blood pressure
Which of the following interventions may be necessary if postpartum hemorrhage persists?
All of the above
What is the expected appearance of lochia in an uncomplicated postpartum period?
Red, moderate in amount, with clots up to the size of a quarter
Which of the following is NOT a nursing responsibility during postpartum hemorrhage?
Performing bimanual massage
Which of the following is NOT a predisposing factor for disseminated intravascular coagulopathy (DIC)?
Gestational diabetes
Which of the following statements about subinvolution is true?
It is commonly diagnosed during the postpartum exam at 4 to 6 weeks after childbirth.
Which of the following is NOT a nursing priority when assessing a client for postpartum hemorrhage?
Calculating the client's body mass index (BMI)
Which of the following statements about postpartum hemorrhage is true?
Vaginal lacerations can occur in the presence of a firm uterus.
Which of the following is a potential initial nursing intervention for postpartum hemorrhage?
Massaging the uterus gently but firmly
Which of the following statements about postpartum hemorrhage is false?
Postpartum hemorrhage only occurs immediately after childbirth and not in the late postpartum period.
Which of the following is a predisposing factor for postpartal urinary retention?
Decreased bladder sensitivity from stretching or trauma
What is the primary contributing factor for thromboembolitic disorders in the postpartal period?
Increased amount of blood clotting factors
Which type of thromboembolic disorder is more common after a cesarean birth?
Septic pelvic thrombophlebitis
Which of the following is a predisposing factor for thromboembolitic disorders in the postpartal period?
All of the above
What is a common symptom of deep vein thrombosis (DVT) in the postpartal period?
Edema of the ankle and leg
Which of the following statements about septic pelvic thrombophlebitis is true?
It is characterized by abdominal or flank pain with guarding
Which of the following nursing interventions is recommended for women with varicosities during the postpartal period?
Evaluate the need for support hose
What is a common sign of pulmonary embolism that may result from deep vein thrombosis (DVT) or septic pelvic thrombophlebitis?
Both dyspnea and chest pain
Which of the following is a priority nursing diagnosis for a woman with a thromboembolic disorder in the postpartal period?
All of the above
What is the recommended nursing intervention for monitoring a woman diagnosed with deep vein thrombosis (DVT) in the postpartal period?
Monitor for signs of pulmonary embolism
Explore the types, locations, and predisposing factors of postpartum hemorrhage, a common complication in early postpartal period. Learn about disseminated intravascular coagulopathy, a complex disorder affecting blood clotting mechanisms.
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