A nurse on the postpartum unit is caring for a client who delivered vaginally 3 hr ago.

Which of the following manifestations is a possible indication of postpartum hemorrhage?

Respiratory rate 32/min

Temperature 38.3° C (101°F)

Apical pulse 66/min

Blood pressure 156/80 mm Hg

Answer and Explanation

The Correct Answer is A

A)   Correct - An elevated respiratory rate could indicate postpartum hemorrhage as the body compensates for decreased oxygen-carrying capacity due to blood loss.
B)   Incorrect- An elevated temperature might indicate infection, but it is not a specific indication of postpartum hemorrhage.
C)   Incorrect- A normal apical pulse rate does not specifically indicate or rule out postpartum hemorrhage.
D)   Incorrect- An elevated blood pressure might occur for various reasons postpartum, including anxiety or pain, but it is not a specific indication of postpartum hemorrhage.

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Correct Answer is C

Explanation

A) Incorrect- Terbutaline is a tocolytic medication used to relax uterine muscles and inhibit contractions, not to treat an ectopic pregnancy.
B) Incorrect- Magnesium sulfate is used to prevent seizures in clients with preeclampsia, not to treat ectopic pregnancies.
C) Correct - Methotrexate is often used to treat unruptured ectopic pregnancies in the early stages by inhibiting the growth of trophoblastic tissue.
D) Incorrect- Calcium gluconate is used to treat magnesium toxicity and other conditions related to calcium imbalance, not to treat ectopic pregnancies.

A. Administer methylergonovine IM. B. Assist the client to empty her bladder. C. Place the client in knee-chest position. D. Give a bolus of lactated Ringers.

Correct Answer is D

Explanation

A) Incorrect- Methylergonovine is used to treat postpartum hemorrhage due to uterine atony, not hypotension.
B) Incorrect- Emptying the client's bladder can help improve blood pressure but is not the priority over treating hypotension.
C) Incorrect- The knee-chest position might be used to increase blood pressure, but it is not the first-line intervention in this situation.
D) Correct - A bolus of lactated Ringers or another appropriate intravenous

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A nurse on the postpartum unit is caring for a client who delivered vaginally 3 hr ago. Which of the following manifestations is a possible indication of postpartum hemorrhage?

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A nurse on the postpartum unit is caring for a client who delivered vaginally 3 hr ago.

Which of the following manifestations is a possible indication of postpartum hemorrhage?