Try Naxlex NCLEX-RN (Free-Trial)

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)

Increase fluid intake to at least 3 L per day

Increase iron-rich foods in the diet

Avoid strenuous activities for 6 weeks

Report any signs of infection, such as fever or foul-smelling lochia

Resume sexual intercourse as soon as desired

Answer and Explanation

Correct Answer : B,D,E

The correct answer is choice B, D and E. The nurse should include the following information in the teaching:

• Increase iron-rich foods in the diet. This can help replenish the blood loss and prevent anemia.

• Report any signs of infection, such as fever or foul-smelling lochia. These can indicate a serious complication that needs immediate medical attention.

• Resume sexual intercourse as soon as desired. There is no evidence that sexual activity increases the risk of bleeding or infection after postpartum hemorrhage.

Choice A is wrong because increasing fluid intake to at least 3 L per day is not necessary for postpartum hemorrhage recovery. Fluid intake should be based on thirst and urine output.

Choice C is wrong because avoiding strenuous activities for 6 weeks is not a specific recommendation for postpartum hemorrhage. The nurse should advise the client to gradually resume normal activities as tolerated and to rest when needed.

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 D

Explanation

Heavy vaginal bleeding and clots are symptoms of postpartum hemorrhage due to uterine dehiscence.Uterine dehiscence is the opening of the incision line after cesarean section and it is a rare complication.It can be caused by infection, hematoma, suture technique or trauma.

Choice A is wrong because abdominal pain and tenderness are more likely to be caused by other postpartum complications such as endometritis, wound infection, hematoma or uterine rupture.

Choice B is wrong because foul-smelling lochia and fever are signs of postpartum infection such as endometritis or wound abscess.

Choice C is wrong because absent or decreased bowel sounds and distension are not specific to postpartum hemorrhage.They can be caused by ileus, bowel obstruction, peritonitis or other abdominal disorders.

Normal ranges for blood loss after delivery are less than 500 mL for vaginal delivery and less than 1000 mL for cesarean delivery.Normal ranges for vital signs after delivery are pulse 50 to 90 beats/minute, blood pressure 85/60 to 140/90 mm Hg, respiratory rate 12 to 20 breaths/minute and temperature 36.2 to 37.6 °C.

A. Urine output of 40 mL/hr B. Pulse rate of 110 beats/min C. Hematocrit level of 32% D. Blood pressure of 90/60 mm Hg

Correct Answer is A

Explanation

Urine output of 40 mL/hr indicates an improvement in the client’s condition.According to the MSF Medical Guidelines, the objective of resuscitation in postpartum hemorrhage is to maintain a urine output of at least 30 mL/hour.

A urine output of 40 mL/hr suggests that the client has adequate fluid replacement and blood transfusion therapy.

Choice B is wrong because a pulse rate of 110 beats/min is still high and indicates tachycardia.

Tachycardia is a sign of hypovolemia and shock due to blood loss.The normal pulse rate for an adult is 60 to 100 beats/min.

Choice C is wrong because a hematocrit level of 32% is low and indicates anemia.

Anemia is a complication of postpartum hemorrhage due to reduced red blood cell count.The normal hematocrit level for women is 36% to 48%.

Choice D is wrong because a blood pressure of 90/60 mm Hg is low and indicates hypotension.

Hypotension is a sign of hypovolemia and shock due to blood loss.The normal blood pressure for an adult is 120/80 mm Hg.

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 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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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?

Correct Answer is A

Explanation

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 delivered vaginally 4 hours ago and has saturated two perineal pads in 15 minutes. The nurse identifies this as which of the following types of postpartum hemorrhage?

A nurse is caring for a client who has just delivered a baby and is experiencing postpartum hemorrhage due to retained placental fragments. Which of the following interventions should the nurse anticipate? 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 retained placental fragments. Which interventions should be included in this client’s plan of care? (Select all that apply.)

Which of the following laboratory tests should the nurse report to the obstetrician when monitoring a client who is one day postpartum and has experienced significant 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 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 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)