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

Administering oxytocin

Administering magnesium sulfate

Administering heparin

Administering insulin

Answer and Explanation

The Correct Answer is A

Oxytocin is a uterotonic medication that stimulates uterine contractions and reduces bleeding. It is the most effective intervention for preventing and treating postpartum hemorrhage caused by uterine atony.

Uterine massage can also help to improve uterine tone and expel clots.

Choice B) Administering magnesium sulfate is wrong because magnesium sulfate is used to prevent seizures in patients with preeclampsia or eclampsia, not to control bleeding.

Choice C) Administering heparin is wrong because heparin is an anticoagulant that prevents blood clotting.

It is used to treat or prevent thromboembolic disorders, not to stop bleeding.

Choice D) Administering insulin is wrong because insulin is used to lower blood glucose levels in patients with diabetes mellitus, not to manage hemorrhage.

Normal blood loss after vaginal delivery is less than 500 mL and after cesarean delivery is less than 1000 mL.

Postpartum hemorrhage is defined as blood loss of at least 100

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Correct Answer is A

Explanation

Retained placental fragments are the most common cause of late postpartum hemorrhage.Retained placental fragments can lead to infection and subinvolution of the placental site, which prevents the uterus from contracting and stopping the bleeding.

Choice B is wrong because uterine atony is the most common cause of early postpartum hemorrhage, not late postpartum hemorrhage.Uterine atony occurs when the uterus fails to contract after delivery.

Choice C is wrong because trauma is a rare cause of late postpartum hemorrhage.Trauma can occur during delivery and cause lacerations or hematomas that can bleed later, but this is uncommon.

Choice D is wrong because lacerations are also a rare cause of late postpartum hemorrhage.Lacerations can occur in the cervix, vagina or perineum during delivery and cause bleeding, but this usually happens immediately or within 24 hours after delivery.

A. Administering oxytocin after delivery B. Encouraging frequent voiding C. Assessing vital signs every 4 hours D. Encouraging ambulation as soon as possible

Correct Answer is A

Explanation

Oxytocin is a medication that helps the uterus contract and prevent excessive bleeding after birth.It is the most effective treatment for postpartum hemorrhage, even if already used for labor induction or augmentation or as part of active management of the third stage of labor.

Choice B) Encouraging frequent voiding is wrong because it does not directly affect the risk of postpartum hemorrhage.However, a full bladder can interfere with uterine contraction and cause bleeding, so voiding should be encouraged as part of routine care.

Choice C) Assessing vital signs every 4 hours is wrong because it is not enough to detect and treat postpartum hemorrhage early.Vital signs should be monitored more frequently in the first hour after delivery, when most cases of postpartum hemorrhage occur.

Choice D) Encouraging ambulation as soon as possible is wrong because it does not prevent postpartum hemorrhage.

Ambulation can help prevent thromboembolic complications and promote recovery, but it has no effect on uterine contraction

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

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Naxlex Comprehensive Predictor Exams

What is the most common cause of late postpartum hemorrhage?

Correct Answer is A

Explanation

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?

Correct Answer is A

Explanation

A nurse is caring for a client who delivered vaginally 4 hours ago and has a boggy uterus that is displaced to the right of midline. Which of the following actions should the nurse take first?

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

A nurse is caring for a client who has just delivered her baby and is at risk for PPH due to uterine atony.Which interventions should be included in this client’s plan of care? (Select all that apply)

A nurse is preparing to administer methylergonovine to a client who has a postpartum hemorrhage due to uterine atony. Which of the following assessments should the nurse perform prior to administration?

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.)

A nurse is caring for a client who has just delivered a baby and is experiencing postpartum hemorrhage due to lacerations on her cervix and vagina caused by rapid birth(Precipitous birth). Which of the following interventions should be included in her plan of care? Select all that apply: