Postpartum hemorrhage is classified into two groups: early postpartum hemorrhage and late postpartum hemorrhage.

What is the most common cause of early postpartum hemorrhage?

Uterine atony

Trauma

Lacerations

Hematomas

Answer and Explanation

The Correct Answer is A

Uterine atony is the most common cause of early postpartum hemorrhage, accounting for up to 80% of cases. Uterine atony is when the uterus fails to contract after delivery of the placenta, leading to excessive bleeding from the blood vessels where the placenta was attached.

Choice B is wrong because trauma is not the most common cause of early postpartum hemorrhage. Trauma accounts for about 20% of cases and includes uterine rupture, cervical and vaginal lacerations, and uterine inversion.

Choice C is wrong because lacerations are not the most common cause of early postpartum hemorrhage. Lacerations are a type of trauma that can cause bleeding from the cervix, vagina, or perineum.

Choice D is wrong because hematomas are not the most common cause of early postpartum hemorrhage. Hematomas are a type of trauma that can cause bleeding into the tissues of the vulva, vagina, or perineum.

Normal ranges for blood loss after delivery are less than 500 ml for vaginal delivery and less than 1000 ml for cesarean delivery. Postpartum hemorrhage is defined as blood loss greater than these amounts or when bleeding causes symptoms of hypovolemia (low blood volume) or hemodynamic instability (low blood pressure or high heart rate).

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

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

Explanation

The correct answer is choice A, B and C. The nurse should monitor intake and output to assess the client’s fluid status and blood loss.

The nurse should elevate the head of the bed to reduce the risk of hypovolemic shock and improve tissue perfusion.

The nurse should apply oxygen via nasal cannula to increase oxygen delivery to the vital organs and prevent hypoxia.

Choice D is wrong because inserting a nasogastric tube is not indicated for a client who has postpartum hemorrhage.

A nasogastric tube is used to decompress the stomach or administer medications or feedings in some conditions.

Choice E is wrong because administering pain medication as needed is not a priority intervention for a client who has postpartum hemorrhage.

Pain medication can mask the signs of shock and lower the blood pressure further.

The nurse should focus on restoring the blood volume and preventing complications.

A. Use one hand to stabilize the lower uterine segment while massaging the fundus with the other hand B. Apply firm pressure on the fundus with both hands until it becomes firm and contracted C. Massage the fundus in a circular motion with one hand while supporting the back with the other hand D. Rub the fundus vigorously with one hand until it becomes hard and expels clots

Correct Answer is A

Explanation

Use one hand to stabilize the lower uterine segment while massaging the fundus with the other hand.

This action prevents the uterus from inverting and reduces the risk of trauma to the cervix and vagina.

The nurse should also monitor the amount and consistency of lochia.

Choice B is wrong because applying firm pressure on the fundus with both hands can cause uterine inversion, which is a life-threatening complication of postpartum hemorrhage.

The nurse should use gentle pressure and avoid overstimulation of the uterus.

Choice C is wrong because massaging the fundus in a circular motion with one hand while supporting the back with the other hand can cause displacement of the uterus and increase bleeding.

The nurse should massage the fundus in a downward motion from the top of the uterus to the umbilicus.

Choice D is wrong because rubbing the fundus vigorously with one hand until it becomes hard and expels clots can cause uterine rupture, which is another serious complication of postpartum hemorrhage.

The nurse should avoid excessive manipulation of the uterus and allow clots to pass naturally.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has postpartum hemorrhage and is receiving IV fluids and blood products. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)

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

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?

Correct Answer is A

Explanation

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)

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)

A nurse is caring for a client who has just delivered her baby and is at risk for postpartum hemorrhage (PPH). Which intervention should be included in this client’s plan of care?

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 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.)

Which of the following is a risk factor for postpartum hemorrhage?

A nurse is providing discharge instructions to a client who had postpartum hemorrhage due to placenta accreta and underwent hysterectomy. Which of the following statements by the client indicates an understanding of the teaching?

Which of the following is a nursing intervention for postpartum hemorrhage?

Postpartum hemorrhage is classified into two groups: early postpartum hemorrhage and late postpartum hemorrhage.

What is the most common cause of early postpartum hemorrhage?