A nurse is assessing a client who has postpartum hemorrhage.
Which of the following findings is an early sign of hypovolemic shock?
Tachycardia
Hypotension
Oliguria
Pallor
The Correct Answer is A
Tachycardia is an early sign of hypovolemic shock, which is a life-threatening condition caused by excessive blood loss. Tachycardia is the body’s attempt to compensate for the reduced blood volume and maintain adequate blood pressure and perfusion to vital organs.
Choice B. Hypotension is wrong because it is a late sign of hypovolemic shock, indicating severe blood loss and decompensation.
Hypotension can lead to organ failure and death if not corrected promptly.
Choice C. Oliguria is wrong because it is not a specific sign of hypovolemic shock, but rather a consequence of reduced renal perfusion due to low blood pressure and volume.
Oliguria can also be caused by other factors such as dehydration, urinary tract obstruction, or renal disease.
Choice D. Pallor is wrong because it is not a reliable sign of hypovolemic shock, as it can be influenced by skin color, temperature, and lighting conditions.
Pallor can also occur in other conditions such as anemia, hypoxia, or vasovagal syncope.
Normal ranges for vital signs in postpartum women are:
• Heart rate: 60-100 beats per minute
• Blood pressure
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Tachycardia is an early sign of hypovolemic shock, which is a life-threatening condition caused by excessive blood loss.Tachycardia is the body’s attempt to compensate for the reduced blood volume and maintain adequate blood pressure and perfusion to vital organs.
Choice B.Hypotension is wrong because it is a late sign of hypovolemic shock, indicating severe blood loss and decompensation.
Hypotension can lead to organ failure and death if not corrected promptly.
Choice C.Oliguria is wrong because it is not a specific sign of hypovolemic shock, but rather a consequence of reduced renal perfusion due to low blood pressure and volume.
Oliguria can also be caused by other factors such as dehydration, urinary tract obstruction, or renal disease.
Choice D.Pallor is wrong because it is not a reliable sign of hypovolemic shock, as it can be influenced by skin color, temperature, and lighting conditions.
Pallor can also occur in other conditions such as anemia, hypoxia, or vasovagal syncope.
Normal ranges for vital signs in postpartum women are:
• Heart rate: 60-100 beats per minute
• Blood pressure
Correct Answer is A
Explanation
Acrocyanosis is the term for the bluish discoloration of the hands and feet that is normal in newborns.It is caused by poor peripheral circulation and ineffective temperature regulation.It usually disappears within 24 to 48 hours after birth.
Choice B is wrong because cyanosis is the bluish discoloration of the skin and mucous membranes that indicates inadequate oxygenation.
It is not normal in newborns and requires immediate intervention.
Choice C is wrong because pallor is the paleness of the skin that indicates poor perfusion or anemia.
It is not normal in newborns and requires further evaluation.
Choice D is wrong because jaundice is the yellowish discoloration of the skin and sclera that indicates elevated bilirubin levels.
It is not normal in newborns within the first 24 hours of life and may indicate hemolytic disease or liver dysfunction.
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