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Question 1:

A nurse is caring for a client who experienced a postpartum hemorrhage after delivering a large baby following oxytocin induction of labor.

Which of the following factors put this client at risk for developing postpartum hemorrhage? (Select all that apply)

Answer and Explanation

A
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Question 2:

A nurse is assisting with an emergency cesarean delivery for a client who has placenta previa and is experiencing profuse bleeding.

Which of the following medications should the nurse anticipate administering to this client after delivery?

Answer and Explanation

A
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Question 3:

A nurse is performing fundal massage for a client who has uterine atony and postpartum hemorrhage.

Which of the following actions should the nurse take when performing this procedure?

Answer and Explanation

A
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Question 4:

A nurse is caring for a client who has just delivered a baby and is experiencing postpartum hemorrhage due to uterine atony.

Which of the following medications should the nurse anticipate administering? Select all that apply:

Answer and Explanation

A
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Question 5:

A nurse is caring for a client who has just delivered a baby and is experiencing postpartum hemorrhage due to retained placental fragments.

Which of the following interventions should the nurse anticipate? Select all that apply:

Answer and Explanation

A
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Question 6:

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:

Answer and Explanation

A
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Question 7:

Which of the following is the most common cause of postpartum hemorrhage?

Answer and Explanation

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Question 8:

Which of the following is a risk factor for postpartum hemorrhage?

Answer and Explanation

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Question 9:

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

Answer and Explanation

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Question 10:

Which of the following laboratory tests should the nurse report to the obstetrician when monitoring a client who is one day postpartum and has experienced significant postpartum hemorrhage?

Answer and Explanation

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Question 11:

Postpartum hemorrhage is classified into two groups: early postpartum hemorrhage and late postpartum hemorrhage.

What is the most common cause of early postpartum hemorrhage?

Answer and Explanation

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Question 12:

What is the most common cause of late postpartum hemorrhage?

Answer and Explanation

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Question 13:

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?

Answer and Explanation

A
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Question 14:

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)

Answer and Explanation

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Question 15:

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.)

Answer and Explanation

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Question 16:

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.)

Answer and Explanation

A
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Question 17:

A nurse is evaluating the effectiveness of interventions for a client who has postpartum hemorrhage due to retained placental fragments.

Which of the following outcomes indicates that the interventions are successful?

Answer and Explanation

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Question 18:

A nurse is providing discharge instructions to a client who had postpartum hemorrhage and received blood transfusions during her hospital stay.

Which of the following information should the nurse include in the teaching? (Select all that apply)

Answer and Explanation

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Question 19:

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?

Answer and Explanation

A
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Question 20:

A nurse is assessing a client who had a cesarean birth and is experiencing postpartum hemorrhage due to uterine dehiscence.

Which of the following manifestations should alert the nurse to this complication?

Answer and Explanation

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Question 21:

A nurse is providing discharge instructions to a client who had postpartum hemorrhage due to placenta accreta and underwent hysterectomy.

Which of the following statements by the client indicates an understanding of the teaching?

Answer and Explanation

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Question 22:

A nurse is caring for a client who delivered vaginally 4 hours ago and has saturated two perineal pads in 15 minutes.

The nurse identifies this as which of the following types of postpartum hemorrhage?

Answer and Explanation

A
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Question 23:

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?

Answer and Explanation

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Question 24:

A nurse is evaluating a client who had a postpartum hemorrhage and received fluid resuscitation and blood transfusion therapy.

Which of the following findings indicates an improvement in the client’s condition?

Answer and Explanation

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