A postpartum client has continuous seepage of bright red blood from the vagina. The nurse completes an assessment and finds a firm uterus, 1 cm below the umbilicus, and midline. What does the nurse suspect is the reason for the bleeding?

Uterine atony

A cervical laceration

Retained placental fragments

A urinary tract infection

Answer and Explanation

The Correct Answer is C

A. Uterine atony is characterized by a boggy and enlarged uterus, not a firm one.

B.   A cervical laceration would typically present with bleeding and possibly a deviation of the uterus from the midline, but the firm uterus suggests a different cause.
C.   Continuous seepage of bright red blood, along with a firm uterus, 1 cm below the umbilicus, and midline, is indicative of retained placental fragments.

D.   A urinary tract infection would not typically cause continuous bright red blood seepage from the vagina.

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Correct Answer is ["A","B"]

Explanation

A. Effacement refers to the thinning of the cervix, making it easier for the cervix to dilate during labor.
B. Effacement also involves the shortening of the cervix, contributing to the progressive dilation during labor.

C. Engagement refers to the descent of the fetal head into the pelvic inlet, not a part of effacement.
D. Effacement does not involve the cervix becoming wider; dilation refers to the opening of the cervix.
E. Effacement does not involve the cervix becoming lower; descent of the presenting part is associated with engagement.

A. The uterine placement is normal B. The urinary bladder is distended C. The uterus is filled with blood D. There is an infection inside the uterus

Correct Answer is B

Explanation

A. The uterine placement is not normal if it's to the right of midline. The fundus should be at the midline immediately after birth.
B. The urinary bladder is distended. A full bladder can displace the uterus and cause it to be off- center.

C. The uterus being filled with blood is not the primary reason for the displacement described.

It's more likely due to a distended bladder.

D. Infection inside the uterus is not the primary reason for the displacement described. A distended bladder is a more common cause.

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A postpartum client has continuous seepage of bright red blood from the vagina. The nurse completes an assessment and finds a firm uterus, 1 cm below the umbilicus, and midline. What does the nurse suspect is the reason for the bleeding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse assesses a laboring client's cervix and states it is 6 cm dilated and 70% effaced. The client asks what it means to be effaced. Which descriptions will the nurse include when responding to the client? Select all that apply.

Correct Answer is ["A","B"]

Explanation

The nurse palpates a postpartum client's fundus two hours after birth and finds it located to the right of midline and somewhat soft. What does the nurse understand about this information?

Correct Answer is B

Explanation

The nurse is assisting a pregnant patient into bed after the patient reports a gush of fluid from the vagina. Which action will the nurse take first?

The nurse assesses a laboring client's cervix and states it is 6 cm dilated and 70% effaced. The client asks what it means to be effaced. Which descriptions will the nurse include when responding to the client? Select all that apply.

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The nurse is admitting a client in the first stage of labor with active genital herpes. Which type of birth will the nurse anticipate for this client?

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