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 B

Explanation

Choice A rationale

Cervical dilation is a source of visceral pain during labor due to the stretching and opening of the cervix, and it is not incorrect information.

Choice B rationale

Stretching of the pelvic muscles is incorrect because visceral pain during labor is typically associated with internal organs and not the stretching of pelvic muscles, which is more somatic pain.

Choice C rationale

Nerve stimulation is a cause of visceral pain as labor pain is transmitted through the nerves to the spinal cord and brain.

Choice D rationale

Uterine contractions are a major source of visceral pain during labor as they involve the powerful and rhythmic tightening and relaxing of the uterine muscles.

A. The client will be positioned in a prone position. B. The ultrasound will occur at 13 weeks of gestation. C. The ultrasound will be transvaginal. D. The client must have a full bladder.

Correct Answer is D

Explanation

Choice A rationale

The client will be positioned in a prone position is incorrect because the prone position is not used for fetal anatomy ultrasounds.

Choice B rationale

The ultrasound will occur at 13 weeks of gestation is incorrect as the typical timing for a detailed fetal anatomy scan is around 18-22 weeks of gestation, not 13 weeks.

Choice C rationale

The ultrasound will be transvaginal is incorrect because at 20 weeks of gestation, a transabdominal ultrasound is more commonly used rather than a transvaginal one.

Choice D rationale

The client must have a full bladder is correct because a full bladder helps lift the uterus out of the pelvis, providing a clearer view during the ultrasound.

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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

A practical nurse is reinforcing education with a newly licensed nurse regarding visceral pain during labor. Which of the following causes of pain by the newly licensed nurse would require follow-up?

Correct Answer is B

Explanation

A nurse is reinforcing teaching about fetal anatomy ultrasound to a client who is at 20 weeks of gestation. Which of the following information should the nurse include?

Correct Answer is D

Explanation

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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)?