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 D
Explanation
A. Skin-to-skin contact promotes thermoregulation and early breastfeeding, which can help prevent severe jaundice by facilitating bilirubin excretion. However, it does not completely eliminate the risk of jaundice.
B. Skin-to-skin can still be done after a C-section, with assistance from the healthcare team.
C. Skin-to-skin does not directly prevent postpartum hemorrhage, though it may support uterine contraction through early breastfeeding.
D. Correct. Skin-to-skin contact enhances maternal-infant bonding, supports breastfeeding by stimulating milk production, and reduces maternal stress by promoting relaxation and oxytocin release.
Correct Answer is D
Explanation
A. Coagulation disorders cause excessive bleeding but are not associated with foul-smelling lochia or fever.
B. Cervical lacerations cause continuous bright red bleeding rather than foul-smelling lochia.
C. A hypertonic uterus (overly contracted) is more associated with prolonged labor but does not cause foul-smelling discharge.
D. Correct. Endometritis is a postpartum infection of the uterine lining, often presenting with foul-smelling lochia, fever, uterine tenderness, and elevated white blood cell count.
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