In caring for an immediate postpartum client, you note petechiae and oozing from her IV site. What information, in her history would make you suspect Disseminated Intravascular Coagulation.
She experienced an abruptio placenta and pre eclampsia with her labor.
She had a 4100 gm baby.
This is her 5th child.
She had hyperemesis gravidarium her first trimester.
The Correct Answer is A
A. Abruptio placenta and preeclampsia are risk factors for DIC, a serious complication that can lead to bleeding and clotting issues, including petechiae and oozing from IV sites.
B. A 4100 gm baby (large baby) is not a risk factor for DIC in the immediate postpartum period.
C. Having five children does not increase the risk for DIC.
D. Hyperemesis gravidarum is not related to the development of DIC.
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Related Questions
Correct Answer is B
Explanation
A. Calcium gluconate is used for hypocalcemia, not for treating hypotension.
B. Ephedrine is a vasopressor used to treat hypotension, which can occur as a side effect of epidural anesthesia by helping to increase blood pressure.
C. Apresoline is an antihypertensive and would not be appropriate for treating hypotension.
D. Nifedipine is a calcium channel blocker used for hypertension, not for treating hypotension related to epidural anesthesia.
Correct Answer is B
Explanation
A. A cerclage is a surgical procedure in which a suture is placed around the cervix to prevent it from dilating prematurely, typically done in women with a history of cervical insufficiency or preterm labor.
B. A cerclage does not prevent preterm labor itself but helps to prevent early cervical dilation, which could lead to preterm labor.
C. A cerclage is done to prevent cervical dilation that occurs too early in pregnancy, especially in women with a history of spontaneous abortions due to cervical insufficiency.
D. Cerclage is often recommended for women with a history of spontaneous abortions, particularly those caused by cervical incompetence or early dilation.
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