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)

Grand multiparity

Uterine overdistention

Precipitous labor

Oxytocin use

Chorioamnionitis

Answer and Explanation

Correct Answer : B,D,E

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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","B","C","D"]

Explanation

• Choice A: Administering oxytocin.Oxytocin is a uterotonic agent that stimulates uterine contractions and reduces bleeding from the placental site.It is the most effective intervention for preventing and treating postpartum hemorrhage.

• Choice B: Administering methylergonovine maleate.Methylergonovine maleate is another uterotonic agent that causes sustained uterine contraction and vasoconstriction.It can be used as an alternative or adjunct to oxytocin for postpartum hemorrhage.

• Choice C: Administering carboprost tromethamine.Carboprost tromethamine is a prostaglandin analog that induces strong and prolonged uterine contractions and decreases blood loss.

It can be used as a second-line treatment

A. Blood pressure B. Temperature C. Respiratory rate D. Oxygen saturation

Correct Answer is A

Explanation

The nurse should assess the client’s blood pressure before administering methylergonovine because this medication can cause hypertension and vasoconstriction.The nurse should also monitor the client’s blood pressure after administration for any signs of hypertensive crisis.

Choice B.Temperature is wrong because methylergonovine does not affect the body temperature significantly.

However, the nurse should monitor the client’s temperature for any signs of infection or fever.

Choice C.Respiratory rate is wrong because methylergonovine does not affect the respiratory system significantly.

However, the nurse should monitor the client’s respiratory rate for any signs of distress or hypoxia.

Choice D.Oxygen saturation is wrong because methylergonovine does not affect the oxygen saturation significantly.

However, the nurse should monitor the client’s oxygen saturation for any signs of hypoxemia or cyanosis.

Methylergonovine is a uterine stimulant that helps prevent postpartum hemorrh

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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:

Correct Answer is ["A","B","C","D"]

Explanation

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?

Correct Answer is A

Explanation

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?

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:

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)

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?

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

Postpartum hemorrhage is classified into two groups: early postpartum hemorrhage and late postpartum hemorrhage. What is the most common cause of early postpartum hemorrhage?

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)

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)

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)