The postpartum woman is experiencing heavy lochia and has required frequent fundal massage over the past 24- hour period.
Which of the following factors may have contributed to the uterine atony?
Premature rupture of membranes
Delivery of an intact placenta within 30 minutes of the birth of the infant
Multigravida status
History of sexually transmitted infections
The Correct Answer is C
Choice A rationale
Premature rupture of membranes is a condition that can occur during pregnancy, but it is not directly linked to uterine atony or heavy lochia after delivery.
Choice B rationale
Delivery of an intact placenta within 30 minutes of the birth of the infant is a normal occurrence and would not contribute to uterine atony or heavy lochia.
Choice C rationale
Multigravida status, or having been pregnant more than once, can contribute to uterine atony. The uterus may not contract effectively after multiple pregnancies, leading to heavy lochia.
Choice D rationale
While a history of sexually transmitted infections can impact overall reproductive health, it is not directly linked to uterine atony or heavy lochia after delivery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Hypothermia is not a typical response to phototherapy in an isolette. The heat from the phototherapy lights would typically prevent hypothermia.
Choice B rationale
Bradycardia, or a slow heart rate, is not a typical response to phototherapy in an isolette. If bradycardia occurs, it could be a sign of a serious condition that needs immediate medical attention.
Choice C rationale
Dehydration is a possible response to phototherapy in an isolette. The lights used in phototherapy can cause an infant to lose more water through their skin, leading to dehydration.
Choice D rationale
Decreased muscle tone is not a typical response to phototherapy in an isolette. If decreased muscle tone is observed, it could be a sign of a serious condition that needs immediate medical attention.
Correct Answer is ["B","D","E"]
Explanation
Choice A rationale
The cervical cap is a barrier method of contraception, not a hormonal method. It is a small, thimble-shaped cup made of silicone that is inserted into the vagina before sex to prevent pregnancy.
Choice B rationale
Depo Provera is a hormonal method of contraception. It is an injection of the hormone progestin that is given every three months to prevent pregnancy.
Choice C rationale
The diaphragm is a barrier method of contraception, not a hormonal method. It is a shallow, dome-shaped cup with a flexible rim that is inserted into the vagina before sex to cover the cervix and prevent pregnancy.
Choice D rationale
The intrauterine device (IUD) can be a hormonal method of contraception. Hormonal IUDs release progestin into the uterus to prevent pregnancy.
Choice E rationale
The vaginal ring is a hormonal method of contraception. It is a small, flexible ring that is inserted into the vagina. It releases estrogen and progestin to prevent pregnancy
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