A nurse is caring for a client who is 1 hr postpartum following a vaginal birth of a newborn weighing 9 lb 6 oz. (4252 g). The nurse should recognize that this client is at risk for which postpartum complication?

Kernicterus

Uterine atony

Gestational diabetes

Retained placental fragments

Answer and Explanation

The Correct Answer is B

A. Kernicterus: Unrelated to postpartum complications; it is a bilirubin-related condition in newborns.

B. Uterine atony: Correct. A large infant increases the risk of uterine overstretching, leading to poor uterine contraction and postpartum hemorrhage.

C. Gestational diabetes: This is diagnosed during pregnancy, not as a postpartum complication.

D. Retained placental fragments: A possible concern but less likely than uterine atony in a client with a macrosomic infant.

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Correct Answer is B

Explanation

A. "Supporting the uterus decreases the amount of pain." Incorrect. While proper support may reduce discomfort, the primary reason is structural support.

B. "This is necessary because the ligaments that hold the uterus are stretched." Correct. The uterus is enlarged postpartum, and the ligaments are weakened, making support necessary.

C. "This will decrease the severity of uterine bleeding." Not the primary reason, though proper fundal massage can aid in hemorrhage prevention.

D. "This will help with uterine involution." Incorrect. Uterine involution is driven by hormonal changes and contractions, not just support.

A. Assess the location and firmness of the fundus. B. Explain that this is normal for second-time moms. C. Administer Pitocin as per standing order. D. Change her pad and return in 1 hour and reassess.

Correct Answer is A

Explanation

A. Correct. The priority is to assess the fundus for firmness and location. Uterine atony is a common cause of postpartum hemorrhage and requires immediate assessment and intervention.

B. Incorrect. Increased bleeding in a multiparous client should not be dismissed as normal without assessment.

C. Incorrect. Administering Pitocin may be appropriate but should follow an assessment of the fundus first.

D. Incorrect. Waiting an hour without assessing the fundus could delay necessary interventions for postpartum hemorrhage.

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A nurse is caring for a client who is 1 hr postpartum following a vaginal birth of a newborn weighing 9 lb 6 oz. (4252 g). The nurse should recognize that this client is at risk for which postpartum complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When discussing the need to support the lower uterine segment, which statement by the new nurse indicates understanding.

Correct Answer is B

Explanation

A 25 year-old woman gave birth to her second child 6 hours ago. She informs the nurse that she is bleeding more than with her previous birth experience. The initial nursing action is to:

Correct Answer is A

Explanation

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Exhibits The nurse should recognize that the client is at risk of dropdown due to dropdown

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