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."

Answer and Explanation

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.

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Correct Answer is C

Explanation

A) Incorrect. While a complete blood count (CBC) provides valuable information about the client's red blood cell count and hemoglobin levels, it does not directly confirm the presence of bleeding or assess the clotting function.

B) Incorrect. Magnetic Resonance Imaging (MRI) is a valuable tool for diagnosing various conditions but is not a primary test for confirming the presence of bleeding.

C) Correct. A coagulation panel, which includes prothrombin time (PT) and activated partial thromboplastin time (PTT), helps assess the clotting function and can aid in confirming the presence of bleeding and identifying coagulation disorders.

D) Incorrect. Fecal Occult Blood Test (FOBT) is used to detect hidden blood in stool, which is indicative of lower gastrointestinal bleeding, but it does not confirm internal bleeding in other areas of the body.

A. Chronic use of nonsteroidal anti-inflammatory drugs (NSAIDs). B. Consuming a diet high in fiber and whole grains. C. Frequent intake of acidic foods and beverages. D. Excessive intake of vitamin K-rich foods.

Correct Answer is A

Explanation

A) Correct. Chronic use of NSAIDs, such as ibuprofen and aspirin, can irritate the stomach lining and increase the risk of gastric ulcers, including duodenal ulcers.

B) Incorrect. A diet high in fiber and whole grains is generally beneficial and does not directly cause duodenal ulcers.

C) Incorrect. While acidic foods and beverages may aggravate existing ulcers, they are not the primary cause of the ulcer.

D) Incorrect. Excessive intake of vitamin K-rich foods can promote blood clotting and is not a cause of duodenal ulcers.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is A

Explanation

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