A nurse is teaching a client who has postpartum hemorrhage about the risk factors for this condition.
Which of the following statements by the client indicates a need for further teaching?
“I know that having a large baby can increase my risk of bleeding.”
“I know that having a prolonged labor can increase my risk of bleeding.”
“I know that having a history of fibroids can increase my risk of bleeding.”
“I know that having a low-lying placenta can increase my risk of bleeding.”
The Correct Answer is C
Having a history of fibroids can increase the risk of bleeding, but not postpartum hemorrhage. Fibroids are benign tumors that grow in the uterus and can cause heavy menstrual bleeding, but they do not affect the placenta or the uterus after delivery.
Choice A is wrong because having a large baby can increase the risk of postpartum hemorrhage.
A large baby can overstretch the uterine muscle and cause atony, which is the failure of the uterus to contract properly after delivery. Atony is the most common cause of postpartum hemorrhage.
Choice B is wrong because having a prolonged labor can increase the risk of postpartum hemorrhage.
A prolonged labor can exhaust the uterine muscle and impair its ability to contract after delivery. This can also lead to atony and excessive bleeding.
Choice D is wrong because having a low-lying placenta can increase the risk of postpartum hemorrhage.
A low-lying placenta, also called placenta previa, is when the placenta covers part of the cervix. This condition can increase the risk of postpartum hemorrhage, which is excessive bleeding after childbirth.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
This is because a low platelet count (<150,000/mm3) indicates thrombocytopenia, which can increase the risk of bleeding and hemorrhage.
The nurse should report this finding to the provider as it may require treatment or transfusion.
Choice A is wrong because hemoglobin 10 g/dL is within the normal range for postpartum women (10-14 g/dL) and does not indicate hemorrhage.
Choice B is wrong because hematocrit 30% is also within the normal range for postpartum women (30-39%) and does not indicate hemorrhage.
Choice D is wrong because white blood cells 12,000/mm3 is slightly elevated but not abnormal for postpartum women, who may have a physiological leukocytosis due to stress, inflammation, or infection.
This finding does not indicate hemorrhage.
Correct Answer is C
Explanation
Having a history of fibroids can increase the risk of bleeding, but not postpartum hemorrhage.Fibroids are benign tumors that grow in the uterus and can cause heavy menstrual bleeding, but they do not affect the placenta or the uterus after delivery.
Choice A is wrong because having a large baby can increase the risk of postpartum hemorrhage.
A large baby can overstretch the uterine muscle and cause atony, which is the failure of the uterus to contract properly after delivery.Atony is the most common cause of postpartum hemorrhage.
Choice B is wrong because having a prolonged labor can increase the risk of postpartum hemorrhage.
A prolonged labor can exhaust the uterine muscle and impair its ability to contract after delivery.This can also lead to atony and excessive bleeding.
Choice D is wrong because having a low-lying placenta can increase the risk of postpartum hemorrhage.
A low-lying placenta, also called placenta previa, is when the placenta covers part of the cervix. This condition can increase the risk of postpartum hemorrhage, which is excessive bleeding after childbirth.
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