A nurse is reviewing the medical record of a client who gave birth 2 hours ago. Which of the following findings increases the client’s risk for postpartum hemorrhage?

Boggy uterus.

Moderate lochia rubra.

First-degree perineal laceration.

Hypotension.

Answer and Explanation

The Correct Answer is A

Choice A rationale

A boggy uterus indicates uterine atony, a leading cause of postpartum hemorrhage, as the uterus fails to contract effectively to compress blood vessels.

Choice B rationale

Moderate lochia rubra is expected postpartum vaginal bleeding, representing normal shedding of the uterine lining, not specifically indicating hemorrhage risk.

Choice C rationale

A first-degree perineal laceration is a minor tear that does not significantly increase the risk for postpartum hemorrhage as it usually involves limited bleeding.

Choice D rationale

Hypotension alone does not increase the risk for postpartum hemorrhage; however, it could be a result of ongoing hemorrhage rather than a cause.

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Correct Answer is B

Explanation

Choice A rationale

Biologically, women are more susceptible to sexually transmitted infections (STIs) due to anatomical differences, such as a larger mucosal surface area, making this statement incorrect.

Choice B rationale

Many STIs, such as chlamydia and gonorrhea, can be asymptomatic. This means a person can have an STI without showing signs or symptoms, making routine screening important.

Choice C rationale

Not all STIs are curable. While bacterial STIs like syphilis and gonorrhea can be treated with antibiotics, viral STIs like herpes and HIV can only be managed, not cured.

Choice D rationale

Condoms significantly reduce the risk of acquiring STIs but do not eliminate it entirely. They protect against fluid transmission but not necessarily from skin-to-skin contact infections like HPV.

A. Ultrasound result B. Caffeine intake C. Job (cashier) D. Pets (cats) E. Medical history (anemia)

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B,C"},"D":{"answers":"C"},"E":{"answers":"A"}}

Explanation

Ultrasound Result
- Biophysical: The ultrasound result indicating normal fetal growth and development provides biophysical information about the fetus's condition.
Caffeine Intake
- Biophysical: Consuming 2 cups of coffee daily affects the biophysical aspect, as excessive caffeine intake can potentially impact fetal development.
Job (Cashier)
- Psychosocial: Prolonged standing and work-related stress can contribute to psychosocial risk factors during pregnancy.
- Environmental: The physical demands and environment of the job can increase the risk for complications.
Pets (Cats)
- Environmental: Having cats at home poses an environmental risk due to the potential exposure to Toxoplasma gondii, a parasite that can cause toxoplasmosis.
Medical History (Anemia)
- Biophysical: A history of mild anemia and current slightly low hemoglobin levels indicate biophysical risk factors that can impact pregnancy.

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A nurse is reviewing the medical record of a client who gave birth 2 hours ago. Which of the following findings increases the client’s risk for postpartum hemorrhage?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient tells the nurse that she knows all about sexually transmitted infections and proceeds to make the following statements. Which one is the only correct statement that the client makes?

Correct Answer is B

Explanation

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B,C"},"D":{"answers":"C"},"E":{"answers":"A"}}

Explanation

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