A nurse is caring for a client who has just delivered her baby and is at risk for postpartum hemorrhage (PPH).

Which intervention should be included in this client’s plan of care?

Administering oxytocin after delivery

Encouraging frequent voiding

Assessing vital signs every 4 hours

Encouraging ambulation as soon as possible

Answer and Explanation

The Correct Answer is A

Oxytocin is a medication that helps the uterus contract and prevent excessive bleeding after birth. It is the most effective treatment for postpartum hemorrhage, even if already used for labor induction or augmentation or as part of active management of the third stage of labor.

Choice B) Encouraging frequent voiding is wrong because it does not directly affect the risk of postpartum hemorrhage. However, a full bladder can interfere with uterine contraction and cause bleeding, so voiding should be encouraged as part of routine care.

Choice C) Assessing vital signs every 4 hours is wrong because it is not enough to detect and treat postpartum hemorrhage early. Vital signs should be monitored more frequently in the first hour after delivery, when most cases of postpartum hemorrhage occur.

Choice D) Encouraging ambulation as soon as possible is wrong because it does not prevent postpartum hemorrhage.

Ambulation can help prevent thromboembolic complications and promote recovery, but it has no effect on uterine contraction

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Correct Answer is A

Explanation

Uterine atony is the most common cause of early postpartum hemorrhage, accounting for up to 80% of cases.Uterine atony is when the uterus fails to contract after delivery of the placenta, leading to excessive bleeding from the blood vessels where the placenta was attached.

Choice B is wrong because trauma is not the most common cause of early postpartum hemorrhage.Trauma accounts for about 20% of cases and includes uterine rupture, cervical and vaginal lacerations, and uterine inversion.

Choice C is wrong because lacerations are not the most common cause of early postpartum hemorrhage.Lacerations are a type of trauma that can cause bleeding from the cervix, vagina, or perineum.

Choice D is wrong because hematomas are not the most common cause of early postpartum hemorrhage.Hematomas are a type of trauma that can cause bleeding into the tissues of the vulva, vagina, or perineum.

Normal ranges for blood loss after delivery are less than 500 ml for vaginal delivery and less than 1000 ml for cesarean delivery.Postpartum hemorrhage is defined as blood loss greater than these amounts or when bleeding causes symptoms of hypovolemia (low blood volume) or hemodynamic instability (low blood pressure or high heart rate).

A. Administering oxytocin B. Administering magnesium sulfate C. Administering heparin D. Administering insulin

Correct Answer is A

Explanation

Oxytocin is a uterotonic medication that stimulates uterine contractions and reduces bleeding.It is the most effective intervention for preventing and treating postpartum hemorrhage caused by uterine atony.

Uterine massage can also help to improve uterine tone and expel clots.

Choice B) Administering magnesium sulfate is wrong because magnesium sulfate is used to prevent seizures in patients with preeclampsia or eclampsia, not to control bleeding.

Choice C) Administering heparin is wrong because heparin is an anticoagulant that prevents blood clotting.

It is used to treat or prevent thromboembolic disorders, not to stop bleeding.

Choice D) Administering insulin is wrong because insulin is used to lower blood glucose levels in patients with diabetes mellitus, not to manage hemorrhage.

Normal blood loss after vaginal delivery is less than 500 mL and after cesarean delivery is less than 1000 mL.

Postpartum hemorrhage is defined as blood loss of at least 100

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A nurse is caring for a client who has just delivered her baby and is at risk for postpartum hemorrhage (PPH). Which intervention should be included in this client’s plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

Which of the following is a nursing intervention for postpartum hemorrhage?

Correct Answer is A

Explanation

A nurse is evaluating the effectiveness of interventions for a client who has postpartum hemorrhage due to retained placental fragments. Which of the following outcomes indicates that the interventions are successful?

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:

A nurse is evaluating a client who had a postpartum hemorrhage and received fluid resuscitation and blood transfusion therapy. Which of the following findings indicates an improvement in the client’s condition?

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?

A nurse is caring for a client who delivered vaginally 4 hours ago and has a boggy uterus that is displaced to the right of midline. Which of the following actions should the nurse take first?

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 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?

A nurse is caring for a client who has just delivered her baby and is at risk for postpartum hemorrhage (PPH).

Which intervention should be included in this client’s plan of care?