A nurse is providing education to a group of pregnant clients about the risk factors for postpartum hemorrhage. Which client statement indicates a need for further clarification?
"I had a c-section with my first baby."
"I have a history of clotting disorders in my family."
"I am expecting twins in this pregnancy."
"I plan to breastfeed my baby exclusively."
The Correct Answer is D
A. Having a previous C-section is a known risk factor for postpartum hemorrhage due to potential uterine scarring and complications during delivery.
B. A history of clotting disorders in the family can increase the risk of postpartum hemorrhage because it may indicate a predisposition to bleeding complications.
C. Expecting twins increases the risk of postpartum hemorrhage due to the larger uterine size and increased blood flow required to support multiple fetuses.
D. Planning to breastfeed exclusively does not increase the risk of postpartum hemorrhage. In fact, breastfeeding can help reduce the risk by promoting uterine contractions that help control bleeding after delivery. This statement indicates a need for further clarification.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. Topical antiseptics, such as hydrogen peroxide or alcohol, can help prevent infection but are safe to use on minor cuts when applied correctly.
B) Correct. Applying direct pressure to the bleeding site for at least 10 minutes helps control minor bleeding and allows the blood to clot, reducing the risk of excessive bleeding.
C) Incorrect. Aspirin is an antiplatelet medication and can increase the risk of bleeding. It should not be used to stop bleeding quickly without medical guidance.
D) Incorrect. Elevating the affected limb above the heart level is not typically necessary for minor bleeding episodes and may not be practical for all bleeding sites.
Correct Answer is B
Explanation
A) Incorrect. A neurological assessment is important to evaluate the client's central nervous system function, but it is not directly related to identifying bleeding sources.
B) Correct. A skin integrity assessment is essential to identify potential external bleeding sources, such as cuts, bruises, or petechiae, which may indicate underlying bleeding disorders.
C) Incorrect. While an abdominal assessment is crucial in identifying internal bleeding in the abdominal area, it is not the most essential assessment to identify bleeding sources overall.
D) Incorrect. A respiratory assessment is important for assessing oxygenation and respiratory status, but it is not the primary assessment to identify bleeding sources.
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