Introduction

A nurse is caring for a client who had a vaginal delivery 4 hours ago.

The nurse notes that the client’s fundus is boggy, deviated to the right, and above the umbilicus.

The client’s perineal pad is saturated with blood.

What is the most likely cause of this client’s postpartum hemorrhage?

A nurse is administering oxytocin to a client who had a cesarean delivery and has uterine atony.

What is the primary purpose of this medication in this situation?

A nurse is assessing a client who had a prolonged labor and vacuum-assisted birth.

The nurse observes a large, tense, bluish bulge on the client’s perineum.

The client reports severe pain in the area.

What is the most likely diagnosis for this client?

A nurse is reviewing the laboratory results of a client who had a postpartum hemorrhage due to placenta accreta.

The nurse notes that the client’s platelet count is 80,000/mm3, fibrinogen level is 150 mg/dL, and prothrombin time is 18 seconds.

What is the most appropriate interpretation of these findings?

A nurse is preparing to discharge a client who had a postpartum hemorrhage due to uterine atony.

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

A nurse is caring for a client who has experienced postpartum hemorrhage due to uterine atony.

Which of the following medications should the nurse anticipate administering?