One possibly fatal complication of prolonged postpartum hemorrhage is:

Uterine prolapse.

Von Willebrand’s disease.

Preeclampsia.

Disseminated Intravascular Coagulation (DIC).

Answer and Explanation

The Correct Answer is D

Choice A rationale

Uterine prolapse involves the descent of the uterus into the vaginal canal and is not a direct fatal complication of postpartum hemorrhage. It primarily stems from weakened pelvic floor muscles or ligament damage.

Choice B rationale

Von Willebrand’s disease is a hereditary bleeding disorder related to factor VIII and von Willebrand factor deficiencies, predisposing individuals to bleeding. It is not a direct result of prolonged postpartum hemorrhage.

Choice C rationale

Preeclampsia is a hypertensive disorder associated with proteinuria and organ dysfunction during pregnancy, not a postpartum hemorrhage complication. It can lead to significant morbidity but is unrelated to hemorrhagic complications.

Choice D rationale

Disseminated Intravascular Coagulation (DIC) is a life-threatening condition involving widespread coagulation and fibrinolysis, leading to uncontrolled bleeding, often triggered by severe postpartum hemorrhage. Laboratory findings may include low platelets, prolonged PT/INR, and elevated D-dimer.

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Correct Answer is B

Explanation

Choice A rationale

Surgical intervention is a secondary measure for obstetric hemorrhage and is considered only after initial non-invasive interventions fail to control bleeding, such as fundal massage and uterotonic medications.

Choice B rationale

Fundal massage is the first-line intervention for uterine atony as it stimulates uterine contractions, reducing blood loss by compressing blood vessels at the placental site and promoting hemostasis.

Choice C rationale

Establishing venous access is essential for fluid resuscitation and medication administration but is not the immediate priority compared to fundal massage for controlling active bleeding.

Choice D rationale

Catheterizing the bladder may help assess urinary output and prevent bladder distension, which can impede uterine contraction, but it is not the initial intervention for hemorrhage.

A. Engorgement. B. Mastitis. C. Decrease in milk production. D. Infection.

Correct Answer is D

Explanation

Choice A rationale

Engorgement is caused by milk overproduction or improper drainage rather than cracked nipples. While related to breastfeeding issues, it is not directly linked to cracked or bleeding nipples.

Choice B rationale

Mastitis is an infection of breast tissue that occurs due to milk stasis or blocked ducts. Cracked nipples increase infection risks, but mastitis is secondary to these infections.

Choice C rationale

Decrease in milk production is influenced by hormonal imbalances or poor latch rather than by cracked or bleeding nipples. It does not directly result from nipple trauma.

Choice D rationale

Cracked nipples create an entry point for bacteria, significantly increasing infection risks such as cellulitis or abscess formation. Proper hygiene and wound care are essential to reduce complications.

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One possibly fatal complication of prolonged postpartum hemorrhage is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The initial nursing intervention when caring for a woman experiencing an obstetric hemorrhage associated with uterine atony is to:

Correct Answer is B

Explanation

A woman who has cracked and bleeding nipples is at increased risk for:

Correct Answer is D

Explanation

Your postpartum patient is experiencing a hemorrhage. Vital signs are 156/94, heart rate 87, O2 saturation 95%. You increase the Pitocin drip wide open and prepare to give what medication to the patient next?

The initial nursing intervention when caring for a woman experiencing an obstetric hemorrhage associated with uterine atony is to:

Medications used to manage postpartum hemorrhage (PPH) include: (Select all that apply)

A nurse is caring for a patient who just stabilized after she had a postpartum hemorrhage with a QBL of 1300 ml. Which of the following are priorities for her care?

A baby is in the NICU whose mother was addicted to heroin during the pregnancy. Which of the following nursing actions would be appropriate?

One possibly fatal complication of prolonged postpartum hemorrhage is:

During a significant postpartum hemorrhage, the physician orders the nurse to administer 1000 mcg Misoprostol per rectum STAT. The nurse has on hand Misoprostol 200 mcg tablets. How many tablets should the nurse administer?

The parents of a 28-week gestation neonate ask the nurse, “Why does he have to be fed through a tube in his mouth? What is the nurse’s best response?”