Which patient would be at the highest risk for postpartum hemorrhage?

One who births in the lithotomy position.

One who receives uterine massage postpartum.

One whose third stage lasts less than 10 minutes.

One who gives birth to an infant weighing 9 pounds (4310 grams).

Answer and Explanation

The Correct Answer is D

Choice A rationale

While lithotomy positioning can increase pressure on perineal tissues, it does not directly correlate with an elevated risk of postpartum hemorrhage. Other factors have stronger evidence for causing hemorrhage.

Choice B rationale

Uterine massage is a preventative measure against postpartum hemorrhage. It stimulates uterine contractions, promoting tone, and reducing atony, which is a primary cause of excessive postpartum bleeding.

Choice C rationale

A third stage lasting less than 10 minutes is within normal limits, reducing the likelihood of placental retention and subsequent bleeding. Prolonged stages, rather than shortened ones, increase risk.

Choice D rationale

Macrosomia, defined as infant birth weight over 4000 grams, increases uterine atony risk due to overdistension, impairing effective contractions post-delivery. Overdistension complicates placental separation, raising postpartum hemorrhage risk.

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Correct Answer is A

Explanation

Choice A rationale

Postpartum depression with psychotic features may lead to suicidal ideation or infanticidal tendencies due to delusions or hallucinations. Ensuring safety is critical to prevent harm to both mother and infant.

Choice B rationale

Anger outbursts, though concerning, do not pose immediate threats like harm to self or infant. Addressing this behavior is secondary to prioritizing safety in severe postpartum psychosis cases.

Choice C rationale

Neglecting hygiene reflects depressive symptoms but does not indicate psychosis severity or imminent danger. Primary focus remains on managing safety risks to the mother and infant.

Choice D rationale

Losing trust in her husband is relevant to interpersonal stress but does not constitute a primary care concern. The immediate threat of harm takes precedence over marital dynamics.

A. PPD will disappear on its own without outside help. B. PPD is the baby blues” that includes a visit with a counselor or psychologist. C. PPD is more common among older Caucasian women. D. PPD is distinguished by irritability, severe anxiety, and panic attacks.

Correct Answer is D

Explanation

Choice A rationale

Postpartum depression does not resolve without intervention. It requires medical or psychological treatment to address underlying hormonal, emotional, and environmental factors contributing to the condition.

Choice B rationale

Postpartum depression is distinct from baby blues, which are transient and resolve without treatment. PPD involves more severe symptoms requiring medical or psychological intervention for effective management.

Choice C rationale

Postpartum depression is not limited to older Caucasian women. It affects women of all ages, ethnicities, and socioeconomic backgrounds, influenced by hormonal, genetic, and environmental factors.

Choice D rationale

Postpartum depression is characterized by severe anxiety, irritability, and panic attacks, distinguishing it from baby blues. These symptoms interfere with daily functioning and require medical or psychological treatment.

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Which patient would be at the highest risk for postpartum hemorrhage?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When a woman is diagnosed with postpartum depression (PPD) with psychotic features, what is the nurse’s primary concern in planning the client’s care?

Correct Answer is A

Explanation

Which of the following statements most accurately describes postpartum depression (PPD)?

Correct Answer is D

Explanation

When inserting a Foley catheter for a patient with a postpartum hemorrhage who is allergic to betadine, what should the nurse use?

Which instruction should be included in the discharge teaching plan to assist the patient in recognizing early signs of complications?

The initial nursing intervention when caring for a woman experiencing an obstetric hemorrhage associated with uterine atony is to:

On day 3 of life, a newborn continues to require 100% oxygen by nasal cannula. The parents ask whether they can hold their infant during his next gavage feeding. Given that this newborn is physiologically stable, what response would the nurse give?

The perinatal nurse is caring for a woman in the immediate postbirth period. Assessment reveals that the woman is experiencing profuse bleeding. The most likely etiology for the bleeding is:

The nurse caring for the postpartum client who has developed thrombophlebitis is providing instructions in the management of this condition. Which client statement indicates the need for further instruction?

A woman who has cracked and bleeding nipples is at increased risk for:

A nurse has administered methergine (methylergonovine) 0.2 mg to a grand multipara (G7, P6) who delivered vaginally 30 minutes earlier. Which of the following outcomes indicates that the medication is effective?