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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
Choice A rationale
Gestational diabetes mellitus increases the risk of preterm labor due to potential complications such as polyhydramnios and preeclampsia.
Choice B rationale
Clients with gestational diabetes have a higher risk of developing type 2 diabetes mellitus later in life due to glucose intolerance.
Choice C rationale
Intensive fetal monitoring is necessary to detect potential complications such as macrosomia, hypoglycemia, and fetal distress in GDM clients.
Choice D rationale
Having a cesarean section is not a requirement for all clients with GDM, as vaginal delivery is possible with well-controlled glucose levels.
Choice E rationale
Clients with GDM are at risk of postpartum hemorrhage due to uterine overdistention from macrosomia or polyhydramnios.
Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A,B"},"C":{"answers":"A,B"},"D":{"answers":"A,B"},"E":{"answers":"A,B"},"F":{"answers":"A,B"},"G":{"answers":"A"},"H":{"answers":"B"}}
Explanation
- Jittery Extremities
- Hypoglycemia: Jittery extremities are a common sign of low blood glucose levels.
- Neonatal Abstinence Syndrome: Jitteriness can occur due to withdrawal symptoms in newborns exposed to opioids.
- Poor Sucking Reflex
- Hypoglycemia: Newborns with low blood glucose levels may have difficulty feeding and a poor sucking reflex.
- Neonatal Abstinence Syndrome: Poor feeding and sucking reflex can be part of withdrawal symptoms in newborns.
- Excessive Sweating
- Hypoglycemia: Excessive sweating can be a symptom of low blood glucose levels.
- Neonatal Abstinence Syndrome: Sweating is one of the possible signs of withdrawal in newborns.
- Irritability
- Hypoglycemia: Irritability can result from low blood glucose levels.
- Neonatal Abstinence Syndrome: Irritability is a common symptom of withdrawal in newborns exposed to opioids.
- Weak Cry
- Hypoglycemia: A weak cry can be a symptom of low blood glucose levels.
- Neonatal Abstinence Syndrome: Weak cry can also be part of withdrawal symptoms in newborns.
- Mild Tremors
- Hypoglycemia: Tremors or shaking can be a sign of low blood glucose levels.
- Neonatal Abstinence Syndrome: Tremors are common withdrawal symptoms in newborns exposed to opioids.
- Low Blood Glucose Level
- Hypoglycemia: A blood glucose level of 40 mg/dL is considered low and indicates hypoglycemia.
- Neonatal Abstinence Syndrome: Low blood glucose level is not a direct indicator of NAS but may occur due to poor feeding.
- Positive Urine Toxicology
- Hypoglycemia: Not relevant.
- Neonatal Abstinence Syndrome: Positive urine toxicology for opioids indicates in utero exposure to opioids, which can lead to NAS.
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