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Surgical Management
Surgical Management ( 5 Questions)
A nurse is caring for a client who is experiencing postpartum hemorrhage.
Which of the following surgical management should the nurse expect to be performed on the client?
Manual removal of placenta or retained fragments under anesthesiais wrong because it is not a surgical management, but a manual one.It is usually done before resorting to surgery, and it may not be sufficient to control the bleeding if there is uterine atony or lacerations.
Repair of lacerations or hematomas under anesthesiais wrong because it is not a surgical management for postpartum hemorrhage, but a surgical repair of the injuries that may have caused the bleeding.
It may be necessary to perform this repair, but it does not address the underlying cause of hemorrhage, such as uterine atony or placental abnormalities
Uterine artery embolization to block blood flow to the uterus.This is a minimally invasive procedure that involves injecting small particles into the uterine arteries to occlude them and stop the bleeding.It is an effective and fertility-preserving option for postpartum hemorrhage that does not respond to medical management.
Uterine artery embolization to block blood flow to the uterus. This is a minimally invasive procedure that involves injecting small particles into the uterine arteries to occlude them and stop the bleeding. It is an effective and fertility-preserving option for postpartum hemorrhage that does not respond to medical management.
Choice A.
Manual removal of placenta or retained fragments under anesthesia is wrong because it is not a surgical management, but a manual one. It is usually done before resorting to surgery, and it may not be sufficient to control the bleeding if there is uterine atony or lacerations.
Choice B.
Repair of lacerations or hematomas under anesthesia is wrong because it is not a surgical management for postpartum hemorrhage, but a surgical repair of the injuries that may have caused the bleeding.
It may be necessary to perform this repair, but it does not address the underlying cause of hemorrhage, such as uterine atony or placental abnormalities