Exhibits
The nurse should recognize that the client is at risk of
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"B"}
The nurse should recognize that the client is at risk of postpartum hemorrhage due to polyhydramnios.
Risk:
Postpartum Hemorrhage (PPH): The client has polyhydramnios and multiple gestation, which cause uterine overdistension. Overdistension increases the risk of uterine atony postpartum, a leading cause of PPH. Other contributing factors are the large uterine fibroids and a history of preterm labor.
Probable Cause:
Polyhydramnios: AFI of 30 cm indicates polyhydramnios, which is excess amniotic fluid.
Multiple gestation (twins) is a common cause of polyhydramnios. Polyhydramnios increases the risk of preterm labor, cord prolapse, and PPH.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Supporting the uterus decreases the amount of pain." Incorrect. While proper support may reduce discomfort, the primary reason is structural support.
B. "This is necessary because the ligaments that hold the uterus are stretched." Correct. The uterus is enlarged postpartum, and the ligaments are weakened, making support necessary.
C. "This will decrease the severity of uterine bleeding." Not the primary reason, though proper fundal massage can aid in hemorrhage prevention.
D. "This will help with uterine involution." Incorrect. Uterine involution is driven by hormonal changes and contractions, not just support.
Correct Answer is A
Explanation
A. Correct. The priority is to assess the fundus for firmness and location. Uterine atony is a common cause of postpartum hemorrhage and requires immediate assessment and intervention.
B. Incorrect. Increased bleeding in a multiparous client should not be dismissed as normal without assessment.
C. Incorrect. Administering Pitocin may be appropriate but should follow an assessment of the fundus first.
D. Incorrect. Waiting an hour without assessing the fundus could delay necessary interventions for postpartum hemorrhage.
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