A nurse is reviewing the medical record of a client who is in active labor.
Which of the following conditions increases the client's risk for postpartum hemorrhage (PPH)?

G6PD deficiency.

Von Willebrand disease.

History of hyperemesis gravidarum.

Peripheral artery disease.

Answer and Explanation

The Correct Answer is B

Choice A rationale

G6PD deficiency is an inherited condition affecting red blood cells but does not increase the risk of postpartum hemorrhage.

Choice B rationale

Von Willebrand disease is a bleeding disorder that can lead to excessive bleeding, increasing the risk of postpartum hemorrhage due to impaired blood clotting.

Choice C rationale

History of hyperemesis gravidarum is associated with severe nausea and vomiting in pregnancy but does not increase the risk of postpartum hemorrhage.

Choice D rationale

Peripheral artery disease affects blood flow to the limbs and does not directly increase the risk of postpartum hemorrhage.

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Correct Answer is A

Explanation

Choice A rationale

Heavy vaginal bleeding at 39 weeks of gestation could be due to placental abruption or placenta previa, which necessitates immediate delivery to prevent maternal and fetal complications. Preparing for cesarean birth is crucial as it allows rapid delivery, reducing the risk of maternal hemorrhage and fetal hypoxia.

Choice B rationale

Performing a cervical examination can exacerbate bleeding in cases of placenta previa or placental abruption, making it unsafe. It can disturb the placenta and lead to further complications, so this option is not recommended.

Choice C rationale

Magnesium sulfate is used to prevent seizures in preeclampsia or eclampsia, not for managing heavy vaginal bleeding. Its use is unrelated to the immediate care of a client with heavy vaginal bleeding due to suspected placental issues.

Choice D rationale

Administering antibiotics is not the immediate priority in the case of heavy vaginal bleeding at 39 weeks of gestation. The focus should be on stabilizing the mother and preparing for delivery.

A. I will notify my provider if I notice bruises. B. I will take aspirin if I experience a headache. C. I should expect to experience temporary diarrhea. D. I may urinate frequently while taking this medication.

Correct Answer is A

Explanation

Choice A rationale

Heparin therapy increases the risk of bleeding and bruising. Notifying the provider about any unusual bruising is crucial for monitoring and managing potential complications.

Choice B rationale

Taking aspirin while on heparin is not recommended because aspirin is an antiplatelet agent that can increase the risk of bleeding, compounding the effects of heparin.

Choice C rationale

Temporary diarrhea is not a common side effect of heparin. Heparin's primary side effects are related to bleeding and thrombocytopenia, not gastrointestinal issues.

Choice D rationale

Increased urination is not a recognized side effect of heparin. Common side effects involve bleeding rather than changes in urinary patterns.

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A nurse is reviewing the medical record of a client who is in active labor. Which of the following conditions increases the client's risk for postpartum hemorrhage (PPH)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A nurse is reviewing the medical record of a client who is in active labor.
Which of the following conditions increases the client's risk for postpartum hemorrhage (PPH)?