One possibly fatal complication of prolonged postpartum hemorrhage is:

Uterine prolapse.

Von Willebrand’s disease.

Preeclampsia.

Disseminated Intravascular Coagulation (DIC).

Answer and Explanation

The Correct Answer is D

Choice A rationale

Uterine prolapse involves the descent of the uterus into the vaginal canal and is not a direct fatal complication of postpartum hemorrhage. It primarily stems from weakened pelvic floor muscles or ligament damage.

Choice B rationale

Von Willebrand’s disease is a hereditary bleeding disorder related to factor VIII and von Willebrand factor deficiencies, predisposing individuals to bleeding. It is not a direct result of prolonged postpartum hemorrhage.

Choice C rationale

Preeclampsia is a hypertensive disorder associated with proteinuria and organ dysfunction during pregnancy, not a postpartum hemorrhage complication. It can lead to significant morbidity but is unrelated to hemorrhagic complications.

Choice D rationale

Disseminated Intravascular Coagulation (DIC) is a life-threatening condition involving widespread coagulation and fibrinolysis, leading to uncontrolled bleeding, often triggered by severe postpartum hemorrhage. Laboratory findings may include low platelets, prolonged PT/INR, and elevated D-dimer.

Nursing Test Bank

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Correct Answer is C

Explanation

Choice A rationale

Stating the bleeding is normal and linking it to stitches being loosened downplays the severity. Postpartum bleeding that saturates one pad in 30 minutes requires urgent evaluation to prevent complications like hypovolemic shock.

Choice B rationale

Menstruation typically resumes several weeks to months postpartum, depending on lactation. Heavy bleeding in this scenario is unlikely to be menstrual and requires medical attention to rule out hemorrhage or uterine atony.

Choice C rationale

Significant postpartum bleeding exceeding normal lochia patterns suggests a possible hemorrhage or retained products of conception, warranting immediate emergency department evaluation for prompt treatment and stabilization.

Choice D rationale

Bed rest is not appropriate in this case, as the heavy bleeding could indicate a life-threatening condition that demands immediate medical intervention rather than conservative management like rest.

Correct Answer is ["5"]

Explanation

Step 1 is (1000 mcg ÷ 200 mcg/tablet) = 5 tablets. The nurse should administer 5 tablets.

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One possibly fatal complication of prolonged postpartum hemorrhage is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is two weeks postpartum calls her obstetrician’s nurse and states that she has had a white discharge for about a week but today she is bleeding and saturating one pad about every 30 minutes. Which of the following is the appropriate response from the nurse?

Correct Answer is C

Explanation

During a significant postpartum hemorrhage, the physician orders the nurse to administer 1000 mcg Misoprostol per rectum STAT. The nurse has on hand Misoprostol 200 mcg tablets. How many tablets should the nurse administer?

Correct Answer is ["5"]

Explanation

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