A nurse is evaluating a client who has prolonged and obstructed labor for signs of postpartum hemorrhage.
Which of the following findings is an early indicator of postpartum hemorrhage?
A boggy uterus that does not respond to massage
A pulse rate of 120 beats per minute
A blood pressure of 90/60 mm Hg
A lochia flow heavier than a normal menstrual period
The Correct Answer is A
A boggy uterus that does not respond to massage is an early indicator of postpartum hemorrhage.
A boggy uterus means that the uterus is not contracting properly after delivery, which can lead to excessive bleeding from the site where the placenta was attached. This condition is called uterine atony and it is the most common cause of postpartum hemorrhage.
Massage can help stimulate the uterus to contract and stop the bleeding, but if it does not work, other interventions are needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
This is because uterine rupture is a life-threatening complication that requires immediate surgical intervention to save the mother and the fetus.
Delaying the delivery can result in hemorrhage, shock, infection, and fetal death.
Correct Answer is A
Explanation
Grief is a normal and natural response to the loss of a baby, and the nurse should provide emotional support and acknowledge the client’s pain.The nurse should also respect the client’s personal, cultural, or religious needs and preferences regarding the care of the baby.
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