Excessive blood loss after childbirth can have several causes; the most common is:

unrepaired lacerations of the vagina or cervix.

retained placental fragments.

vaginal or vulvar hematomas.

failure of the uterine muscle to contract firmly.

Answer and Explanation

The Correct Answer is D

The most common cause of excessive blood loss after childbirth is the failure of the uterine muscle to contract firmly, which is also known as uterine atony. If the uterus does not contract effectively after delivery, it cannot properly close off the blood vessels that were connected to the placenta, leading to heavy bleeding. Uterine atony can occur due to various factors, such as prolonged labor, multiple births, or the use of certain medications during labor.
Other causes of excessive blood loss after childbirth include retained placental fragments, vaginal or vulvar hematomas, or unrepaired lacerations of the vagina or cervix, but these are less common than uterine atony.

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Correct Answer is B

Explanation

Hydatidiform mole is a rare complication of pregnancy that occurs when the placenta develops into an abnormal mass of cysts rather than a healthy placenta. Signs and symptoms of molar pregnancy may include vaginal bleeding during the first trimester of pregnancy, unusually high levels of hCG, and a uterus that is larger than expected for the gestational age. Hyperemesis gravidarum is also common.

A. Inviting family members to visit the newborn. B. Wearing gloves when touching and holding the newborn. C. Washing their hands before touching the newborn. D. Avoiding direct contact with the newborn.

Correct Answer is C

Explanation

Hand hygiene is one of the most important infection prevention strategies in the NICU, and parents and visitors should be encouraged to wash their hands frequently, especially before touching the newborn. While wearing gloves can provide an additional barrier against infection, it is not a substitute for hand hygiene. Family members should be encouraged to visit and bond with their newborn, but they should be taught proper infection prevention measures to protect the infant's health. Avoiding direct contact with the newborn is not necessary as long as appropriate infection-prevention measures are taken.

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Excessive blood loss after childbirth can have several causes; the most common is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A G2P1 pregnant patient presents in clinic for her 10-week prenatal visit. Which of the following findings could indicate a hydatidiform mole?

Correct Answer is B

Explanation

The NICU nurse observes the parents of a newborn admitted two days ago for prematurity. The nurse knows infection prevention education has been effective when which observation is made:

Correct Answer is C

Explanation

Educating a client about starting nifedipine (Procardia) for preterm labor prevention, the nurse knows that her educational plan for this client should include which of the following?

The nurse is caring for a patient who has just been diagnosed with an ectopic pregnancy. Which of the following can the nurse anticipate as a part of the treatment plan for an ectopic pregnancy?

Caring for a newborn in the neonatal intensive care unit (NICU), the RN states she recently completed a Finnegan score on a newborn. This tool measures which of the following?

The nurse recognizes that a nonstress test (NST) in which two or more fetal heart rate (FHR) accelerations of 15 beats/min or more occur with fetal movement in a 20-minute period is:

A cesarean section would be most appropriate for which of the following clients?

The nurse anticipates the vaginal delivery of a client who has been induced for macrosomia. The provider asks the nurse to apply suprapubic pressure. The nurse knows that suprapubic pressure is applied:

During this phase of a disaster, evaluation of the disaster plan and cleanup of the area are hallmark activities.

A pregnant woman is being discharged from the hospital after the placement of a cervical cerclage because of a history of recurrent pregnancy loss, secondary to an incompetent cervix. Which information regarding postprocedural care should the nurse emphasize in the discharge teaching?