A newly admitted postpartum client who delivered vaginally has saturated 6 perineal pads with bright red blood and many small clots during a one-hour period.
The nurse suspects a post-partum hemorrhage.
The nurse knows that a risk factor for post-partum hemorrhage is:
A macrosomic baby.
Uterine involution.
A first degree laceration.
Endometriosis.
The Correct Answer is A
Choice A rationale
A macrosomic baby, or a baby with a high birth weight, can stretch the uterus significantly, increasing the risk of postpartum hemorrhage. The overstretched uterus may not contract effectively after birth, leading to excessive bleeding.
Choice B rationale
Uterine involution refers to the process of the uterus returning to its pre-pregnancy size. Effective uterine involution typically reduces the risk of hemorrhage, rather than increasing it, as the contracting uterus helps compress blood vessels and control bleeding.
Choice C rationale
A first-degree laceration is a minor perineal tear that typically heals without significant intervention. While it can cause some bleeding, it is usually not sufficient to lead to postpartum hemorrhage. More severe lacerations (third or fourth degree) pose higher risks.
Choice D rationale
Endometriosis is a condition where tissue similar to the lining inside the uterus grows outside it. It does not directly increase the risk of postpartum hemorrhage. The condition primarily causes pain and fertility issues rather than acute bleeding post-delivery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Oral contraceptive pills, while effective when taken correctly, rely on user compliance and are not the most reliable if doses are missed.
Choice B rationale
Diaphragms with spermicide are less effective than IUDs and require proper placement before intercourse, making them more prone to user error.
Choice C rationale
Intrauterine devices (IUDs) are long-term, highly effective contraceptive methods with low failure rates, and they do not depend on daily user compliance.
Choice D rationale
Male condoms are effective but have a higher failure rate compared to IUDs due to potential breakage or improper use.
Correct Answer is F
Explanation
Choice A rationale
Stools are a normal occurrence in newborns and are not typically associated with significant complications. The frequency and consistency can vary, but abnormal stools would not explain the given vital signs.
Choice B rationale
Temperature control is vital in newborns, but the given temperature is slightly low and alone does not indicate a specific complication without additional context such as infection or environment.
Choice C rationale
Feeding difficulties can occur in newborns, but they would typically present with symptoms related to weight and growth rather than the specific vital signs provided.
Choice D rationale
Extremities’ conditions, such as cyanosis or poor circulation, could indicate complications, but the given vital signs are not directly indicative of extremity problems.
Choice E rationale
Hypoglycemia in newborns can present with signs like jitteriness or lethargy, but it does not directly correlate with the provided vital signs without additional glucose measurements.
Choice F rationale
Neonatal Abstinence Syndrome (NAS) includes symptoms such as high heart rate, respiratory rate, and temperature instability, which align with the newborn's vital signs.
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