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 A
Explanation
Choice A rationale
Phototherapy is commonly used to treat neonatal jaundice. One of the typical outcomes of phototherapy is frequent loose stool. This happens because the therapy helps to eliminate bilirubin, the substance that causes jaundice, from the baby’s body through stool. Choice B rationale
A purpuric rash is not a typical outcome of phototherapy. It could be a sign of a different medical condition and should be evaluated by a healthcare provider.
Choice C rationale
Clear, transparent urine is not specifically associated with phototherapy. Urine color can be influenced by many factors, including hydration status and certain medical conditions. Choice D rationale
Lethargy is not a typical outcome of phototherapy. If a baby appears lethargic, it could be a sign of a serious condition that needs immediate medical attention.
Correct Answer is C
Explanation
Choice A rationale
In infants with asymmetric intrauterine growth restriction (IUGR), not all body parts appear proportionate. Typically, the head is disproportionately larger compared to the rest of the body.
Choice B rationale
While the extremities can be smaller in infants with IUGR, this is not specific to asymmetric IUGR910.
Choice C rationale
In asymmetric IUGR, the head seems large compared with the rest of the body. This is because the body slows its growth to allow the brain to continue growing.
Choice D rationale
One side of the body appearing slightly smaller than the other is not a typical characteristic of asymmetric IUGR910.
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