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A nurse is providing discharge instructions to a client who had postpartum hemorrhage and received blood transfusions during her hospital stay.

Which of the following information should the nurse include in the teaching? (Select all that apply)

Increase fluid intake to at least 3 L per day

Increase iron-rich foods in the diet

Avoid strenuous activities for 6 weeks

Report any signs of infection, such as fever or foul-smelling lochia

Resume sexual intercourse as soon as desired

Answer and Explanation

Correct Answer : B,D,E

The correct answer is choice B, D and E. The nurse should include the following information in the teaching:

• Increase iron-rich foods in the diet. This can help replenish the blood loss and prevent anemia.

• Report any signs of infection, such as fever or foul-smelling lochia. These can indicate a serious complication that needs immediate medical attention.

• Resume sexual intercourse as soon as desired. There is no evidence that sexual activity increases the risk of bleeding or infection after postpartum hemorrhage.

Choice A is wrong because increasing fluid intake to at least 3 L per day is not necessary for postpartum hemorrhage recovery. Fluid intake should be based on thirst and urine output.

Choice C is wrong because avoiding strenuous activities for 6 weeks is not a specific recommendation for postpartum hemorrhage. The nurse should advise the client to gradually resume normal activities as tolerated and to rest when needed.

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Correct Answer is A

Explanation

Retained placental fragments are the most common cause of late postpartum hemorrhage.Retained placental fragments can lead to infection and subinvolution of the placental site, which prevents the uterus from contracting and stopping the bleeding.

Choice B is wrong because uterine atony is the most common cause of early postpartum hemorrhage, not late postpartum hemorrhage.Uterine atony occurs when the uterus fails to contract after delivery.

Choice C is wrong because trauma is a rare cause of late postpartum hemorrhage.Trauma can occur during delivery and cause lacerations or hematomas that can bleed later, but this is uncommon.

Choice D is wrong because lacerations are also a rare cause of late postpartum hemorrhage.Lacerations can occur in the cervix, vagina or perineum during delivery and cause bleeding, but this usually happens immediately or within 24 hours after delivery.

A. Apply ice packs to the perineum B. Assist the client to empty her bladder C. Increase the rate of IV fluids D. Administer carboprost as prescribed

Correct Answer is B

Explanation

This is because a boggy uterus that is displaced to the right of midline indicates that the bladder is full and pushing the uterus out of place.A full bladder can prevent the uterus from contracting effectively after delivery, leading to excessive bleeding and postpartum hemorrhage (PPH).

Emptying the bladder can help the uterus return to its normal position and tone.

Choice A is wrong because applying ice packs to the perineum may help reduce swelling and pain, but it will not address the underlying cause of the boggy uterus.

Choice C is wrong because increasing the rate of IV fluids may worsen the bleeding by diluting the blood and reducing its clotting ability.

Choice D is wrong because administering carboprost, a medication that stimulates uterine contractions, may be indicated if other measures fail to restore uterine tone, but it is not the first action to take.Carboprost also has side effects such as fever, nausea, vomiting, and diarrhea.

Normal ranges for uterine size and position after delivery are:

• Immediately after delivery: at or slightly below the level of the umbilicus (navel)

• 6 hours after delivery: 1 fingerbreadth above the umbilicus

• 12 hours

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A nurse is providing discharge instructions to a client who had postpartum hemorrhage and received blood transfusions during her hospital stay. Which of the following information should the nurse include in the teaching? (Select all that apply)

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Naxlex Comprehensive Predictor Exams

What is the most common cause of late postpartum hemorrhage?

Correct Answer is A

Explanation

A nurse is caring for a client who delivered vaginally 4 hours ago and has a boggy uterus that is displaced to the right of midline. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is performing fundal massage for a client who has uterine atony and postpartum hemorrhage. Which of the following actions should the nurse take when performing this procedure?

A nurse is caring for a client who experienced a postpartum hemorrhage after delivering a large baby following oxytocin induction of labor. Which of the following factors put this client at risk for developing postpartum hemorrhage? (Select all that apply)

Which of the following is the most common cause of postpartum hemorrhage?

A nurse is caring for a client who has just delivered a baby and is experiencing postpartum hemorrhage due to retained placental fragments. Which of the following interventions should the nurse anticipate? Select all that apply:

A nurse is caring for a client who has just delivered a baby and is experiencing postpartum hemorrhage due to uterine atony. Which of the following medications should the nurse anticipate administering? Select all that apply:

A nurse is caring for a client who has just delivered her baby and is at risk for PPH due to retained placental fragments. Which interventions should be included in this client’s plan of care? (Select all that apply.)

A nurse is caring for a client who has just delivered a baby and is experiencing postpartum hemorrhage due to lacerations on her cervix and vagina caused by rapid birth(Precipitous birth). Which of the following interventions should be included in her plan of care? Select all that apply:

Postpartum hemorrhage is classified into two groups: early postpartum hemorrhage and late postpartum hemorrhage. What is the most common cause of early postpartum hemorrhage?

A nurse is providing discharge instructions to a client who had postpartum hemorrhage and received blood transfusions during her hospital stay.

Which of the following information should the nurse include in the teaching? (Select all that apply)