A nurse is reviewing the medical record of a patient who had a vaginal delivery 3 hours ago. Which findings place the patient at risk for postpartum hemorrhage? (Select all that apply)

Vacuum-assisted delivery

Newborn weight 2.948 kg (6 lb 8 oz)

Labor induction with oxytocin

History of uterine atony

History of human papillomavirus

Answer and Explanation

Correct Answer : A,C,D

Choice A rationale
Vacuum-assisted delivery can increase the risk of postpartum hemorrhage. This is because the use of vacuum can cause trauma to the birth canal and uterus, leading to increased bleeding.
Choice B rationale
A newborn weight of 2.948 kg (6 lb 8 oz) is within the normal range and does not increase the risk of postpartum hemorrhage.
Choice C rationale
Labor induction with oxytocin can increase the risk of postpartum hemorrhage. Oxytocin can cause the uterus to contract too strongly or too frequently, leading to uterine atony (a condition where the uterus fails to contract after delivery), which can result in heavy bleeding.
Choice D rationale
A history of uterine atony places the patient at risk for postpartum hemorrhage. Uterine atony is a condition in which the uterus fails to contract after the delivery of the baby and the placenta, leading to heavy bleeding.
Choice E rationale

A history of human papillomavirus (HPV) does not increase the risk of postpartum hemorrhage. HPV is a sexually transmitted infection that can cause genital warts and cervical cancer, but it does not affect the uterus’s ability to contract after delivery.

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Correct Answer is C

Explanation

Choice A rationale
Rust-stained urine is not a normal finding in a full-term newborn and should be reported to the provider. However, it is not typically assessed upon admission to the nursery.
Choice B rationale
Subconjunctival hemorrhage, or a small red or pink spot on the white of the eye, can occur due to the pressure changes during the birth process. It is a harmless condition that does not affect the baby’s vision and does not require treatment.
Choice C rationale
Single palmar creases, also known as “simian lines,” can be a normal variation in hand creases. However, they are also associated with certain genetic conditions, such as Down syndrome, and should be reported to the provider.
Choice D rationale
Transient circumoral cyanosis, or bluish color around the mouth, can be a normal finding in newborns when they are cold or after crying. However, if it persists, it could indicate a problem with the baby’s heart or lungs and should be reported to the provider.

A. A client who has gestational diabetes mellitus B. A client who had a previous stillbirth C. A client who had a nonreactive nonstress test D. A client who has a previous classical incision .

Correct Answer is D

Explanation

Choice A rationale
A client who has gestational diabetes mellitus does not have a contraindication for a contraction stress test.
Choice B rationale
A client who had a previous stillbirth does not have a contraindication for a contraction stress test.
Choice C rationale

A client who had a nonreactive nonstress test does not have a contraindication for a contraction stress test. In fact, a nonreactive nonstress test is often an indication for further testing, such as a contraction stress test.
Choice D rationale
A client who has a previous classical incision is at risk for uterine rupture, which is a contraindication for a contraction stress test.

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A nurse is reviewing the medical record of a patient who had a vaginal delivery 3 hours ago. Which findings place the patient at risk for postpartum hemorrhage? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a full-term newborn upon admission to the nursery. What clinical findings should the nurse report?

Correct Answer is C

Explanation

A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should the nurse recognize as having a contraindication for a contraction stress test?

Correct Answer is D

Explanation

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