The nurse is reviewing the client’s chart.
Click to highlight areas of client history and physical that increase the risk for postpartum hemorrhage.
Client was middle aged and married.
She was in labor for 25 hours and forceps were used to assist with the delivery.
She was given an epidural for anesthesia that was effective.
The labor and delivery nurse reported that the client had a 4th degree laceration, and her pain was currently at a 4 on a 0 to 10 pain scale.
Her vital signs were stable, and she was catheterized for 500 mL of light-yellow urine just prior to delivery.
Her spouse was at the bedside for delivery.
Client was middle aged
forceps were used to assist with the delivery
client had a 4th degree laceration
She was in labor for 25 hours
The Correct Answer is ["B","C","D"]
Choice A rationale
Age of the client is not a significant risk factor for postpartum hemorrhage. While age can influence overall health and pregnancy complications, it is not directly linked to an increased risk of postpartum hemorrhage. Therefore, the age of the client, in this case, does not increase the risk for postpartum hemorrhage.
Choice B rationale
The use of forceps during delivery can increase the risk of postpartum hemorrhage. Forceps delivery is an assisted delivery method which can cause trauma to the birth canal, leading to increased bleeding after delivery. In this case, the client had a forceps-assisted delivery, which could increase her risk for postpartum hemorrhage.
Choice C rationale
A 4th degree laceration is a severe tear that occurs during delivery, extending to the anal sphincter and rectal mucosa. This type of laceration can lead to significant blood loss and increase the risk of postpartum hemorrhage. In this case, the client had a 4th degree laceration, which increases her risk for postpartum hemorrhage.
Choice D rationale
A long labor duration can increase the risk of postpartum hemorrhage. Prolonged labor can lead to uterine atony, a condition where the uterus does not contract properly after delivery, leading to increased bleeding. In this case, the client was in labor for 25 hours, which could increase her risk for postpartum hemorrhage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
This is incorrect because repaglinide is not recommended for the treatment of gestational diabetes mellitus. Repaglinide is an oral antidiabetic agent that stimulates the release of insulin from the pancreas. However, it has not been adequately studied in pregnant women and may cause hypoglycemia or fetal harm.
Choice B rationale
This is correct because insulin is the preferred medication for the treatment of gestational diabetes mellitus. Insulin is a hormone that lowers the blood glucose levels by facilitating its uptake by the cells. Insulin does not cross the placenta and does not affect the fetal development. Insulin can be administered by injection or infusion, depending on the type and severity of the diabetes.
Choice C rationale
This is incorrect because glipizide is not recommended for the treatment of gestational diabetes mellitus. Glipizide is an oral antidiabetic agent that stimulates the release of insulin from the pancreas. However, it may cross the placenta and cause hypoglycemia or fetal abnormalities.
Choice D rationale
This is incorrect because acarbose is not recommended for the treatment of gestational diabetes mellitus. Acarbose is an oral antidiabetic agent that inhibits the digestion and absorption of carbohydrates in the intestine. However, it may cause gastrointestinal side effects, such as bloating, diarrhea, or flatulence, and it has not been proven to be safe or effective in pregnant women.
Correct Answer is B
Explanation
Choice A rationale
This is incorrect because variable decelerations are not related to fetal head compression. Fetal head compression causes early decelerations, which are symmetrical and mirror the shape of the uterine contraction.
Choice B rationale
This is correct because variable decelerations are due to umbilical cord compression. Umbilical cord compression reduces the blood flow and oxygen delivery to the fetus, resulting in abrupt and irregular decreases in the fetal heart rate that vary in onset, depth, and duration.
Choice C rationale
This is incorrect because variable decelerations are not caused by uteroplacental insufficiency. Uteroplacental insufficiency causes late decelerations, which are symmetrical and begin after the peak of the uterine contraction.
Choice D rationale
This is incorrect because variable decelerations are not a result of the administration of narcotic analgesics. Narcotic analgesics can cause a decrease in the baseline fetal heart rate and variability, but not variable decelerations.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.