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A nurse is caring for a client who is 5 hours postpartum following a vaginal birth of a newborn weighing 9 lb 6 oz (4252 g). The nurse should recognize that this client is at risk for which of the following postpartum complications?

A.

Uterine atony

B.

Thrombophlebitis

C.

Puerperal infection

D.

Retained placental fragments

Answer and Explanation

The Correct Answer is A

A.    Uterine atony is the most common cause of postpartum hemorrhage and is more likely to occur after a delivery of a large infant or in cases of rapid or prolonged labor.
B.    Thrombophlebitis is a risk after childbirth, especially in clients who have undergone cesarean delivery or who have other risk factors such as prolonged immobility, but it is not directly related to the size of the newborn.
C.    Puerperal infection is a risk following childbirth, but it is not directly related to the size of the newborn.
D.    Retained placental fragments can lead to postpartum hemorrhage, but the size of the newborn is not a direct risk factor for this complication.
 


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Related Questions

Correct Answer is C

Explanation

A. Using a basin during bathing is a safe practice to prevent accidental slips or falls.

B. Testing the water temperature before bathing is essential to prevent burns or scalds.

C. Baby powder is not recommended for preventing diaper rash as it can contribute to respiratory issues when inhaled by the baby and has been associated with an increased risk of respiratory
problems and infections.

D. Using mild soap is appropriate for newborn skin to prevent irritation.

Correct Answer is A

Explanation

A. Uterine atony is the most common cause of postpartum hemorrhage and is more likely to occur after a delivery of a large infant or in cases of rapid or prolonged labor.
B. Thrombophlebitis is a risk after childbirth, especially in clients who have undergone cesarean delivery or who have other risk factors such as prolonged immobility, but it is not directly related to the size of the newborn.
C. Puerperal infection is a risk following childbirth, but it is not directly related to the size of the newborn.
D. Retained placental fragments can lead to postpartum hemorrhage, but the size of the newborn is not a direct risk factor for this complication.

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