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More Questions on this Topic ( 24 Questions)
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)
This means having given birth five or more times. It is not a risk factor for postpartum hemorrhage by itself, but it may be associated with other risk factors such as uterine overdistention, oxytocin use, or placental abnormalities.
This occurs when the uterus is stretched too much by a large baby, multiple babies, or excess amniotic fluid. This can impair the normal contraction of the uterus after delivery and lead to bleeding.
This means having a very fast labor, lasting less than three hours. It is not a risk factor for postpartum hemorrhage by itself, but it may be associated with other risk factors such as trauma to the birth canal, retained placenta, or coagulation disorders.
This is a hormone that stimulates uterine contractions during labor. However, prolonged or excessive use of oxytocin can cause uterine atony, which is the failure of the uterus to contract and compress the blood vessels after delivery.
This is an infection of the membranes and amniotic fluid that surround the baby. It can cause inflammation and damage to the uterine lining, which can interfere with blood clotting and increase the risk of bleeding.
The correct answer is choice B, D and E. These are the factors that put this client at risk for developing postpartum hemorrhage:
• Uterine overdistention: This occurs when the uterus is stretched too much by a large baby, multiple babies, or excess amniotic fluid. This can impair the normal contraction of the uterus after delivery and lead to bleeding.
• Oxytocin use: This is a hormone that stimulates uterine contractions during labor. However, prolonged or excessive use of oxytocin can cause uterine atony, which is the failure of the uterus to contract and compress the blood vessels after delivery.
• Chorioamnionitis: This is an infection of the membranes and amniotic fluid that surround the baby. It can cause inflammation and damage to the uterine lining, which can interfere with blood clotting and increase the risk of bleeding.
Choice A and C are wrong because:
• Grand multiparity: This means having given birth five or more times. It is not a risk factor for postpartum hemorrhage by itself, but it may be associated with other risk factors such as uterine overdistention, oxytocin use, or placental abnormalities.
• Precipitous labor: This means having a very fast labor, lasting less than three hours. It is not a risk factor for postpartum hemorrhage by itself, but it may be associated with other risk factors such as trauma to the birth canal, retained placenta, or coagulation disorders.