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?

Choice A rationale

Persistent nausea and vomiting are common during the first trimester, but not to the extent seen in hyperemesis gravidarum, which involves severe and prolonged symptoms leading to dehydration and weight loss.

Choice B rationale

Hyperemesis gravidarum's exact cause is unknown, making it difficult to prevent. Risk factors include multiple pregnancies and a history of the condition, but no definitive prevention measures are established.

Choice C rationale

The chronic nausea, vomiting, and resultant physical debilitation of hyperemesis gravidarum significantly impact the quality of life, leading to anxiety and depression due to the persistent nature of the symptoms.

Choice D rationale

Hospitalization for rehydration and electrolyte balance restoration is often necessary for hyperemesis gravidarum due to severe dehydration from persistent vomiting and inability to retain fluids and nutrients.

Choice A rationale

Decreased fetal heart rate can occur due to uteroplacental insufficiency but is not specific to hypertonic contractions.

Choice B rationale

The uterus may not relax between contractions, leading to a lack of rest periods for the fetus and compromised blood flow.

Choice C rationale

Easily indentable contractions are characteristic of hypotonic contractions, not hypertonic ones.

Choice D rationale

Weak and ineffective contractions indicate hypotonic labor, contrasting the excessive strength of hypertonic contractions.

NGN QUESTIONS