Postpartum hemorrhage is classified into two groups: early postpartum hemorrhage and late postpartum hemorrhage.

What is the most common cause of early postpartum hemorrhage?

Uterine atony

Trauma

Lacerations

Hematomas

Answer and Explanation

The Correct Answer is A

Uterine atony is the most common cause of early postpartum hemorrhage, accounting for up to 80% of cases. Uterine atony is when the uterus fails to contract after delivery of the placenta, leading to excessive bleeding from the blood vessels where the placenta was attached.

Choice B is wrong because trauma is not the most common cause of early postpartum hemorrhage. Trauma accounts for about 20% of cases and includes uterine rupture, cervical and vaginal lacerations, and uterine inversion.

Choice C is wrong because lacerations are not the most common cause of early postpartum hemorrhage. Lacerations are a type of trauma that can cause bleeding from the cervix, vagina, or perineum.

Choice D is wrong because hematomas are not the most common cause of early postpartum hemorrhage. Hematomas are a type of trauma that can cause bleeding into the tissues of the vulva, vagina, or perineum.

Normal ranges for blood loss after delivery are less than 500 ml for vaginal delivery and less than 1000 ml for cesarean delivery. Postpartum hemorrhage is defined as blood loss greater than these amounts or when bleeding causes symptoms of hypovolemia (low blood volume) or hemodynamic instability (low blood pressure or high heart rate).

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Correct Answer is ["A","B","C","D"]

Explanation

• Choice A: Administering oxytocin.Oxytocin is a uterotonic agent that stimulates uterine contractions and reduces bleeding from the placental site.It is the most effective intervention for preventing and treating postpartum hemorrhage.

• Choice B: Administering methylergonovine maleate.Methylergonovine maleate is another uterotonic agent that causes sustained uterine contraction and vasoconstriction.It can be used as an alternative or adjunct to oxytocin for postpartum hemorrhage.

• Choice C: Administering carboprost tromethamine.Carboprost tromethamine is a prostaglandin analog that induces strong and prolonged uterine contractions and decreases blood loss.

It can be used as a second-line treatment

A. Increase fluid intake to at least 3 L per day B. Increase iron-rich foods in the diet C. Avoid strenuous activities for 6 weeks D. Report any signs of infection, such as fever or foul-smelling lochia E. Resume sexual intercourse as soon as desired

Correct Answer is ["B","D","E"]

Explanation

The correct answer is choice B, D and E. The nurse should include the following information in the teaching:

• Increase iron-rich foods in the diet.This can help replenish the blood loss and prevent anemia.

• Report any signs of infection, such as fever or foul-smelling lochia.These can indicate a serious complication that needs immediate medical attention.

• Resume sexual intercourse as soon as desired.There is no evidence that sexual activity increases the risk of bleeding or infection after postpartum hemorrhage.

Choice A is wrong because increasing fluid intake to at least 3 L per day is not necessary for postpartum hemorrhage recovery.Fluid intake should be based on thirst and urine output.

Choice C is wrong because avoiding strenuous activities for 6 weeks is not a specific recommendation for postpartum hemorrhage.The nurse should advise the client to gradually resume normal activities as tolerated and to rest when needed.

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Postpartum hemorrhage is classified into two groups: early postpartum hemorrhage and late postpartum hemorrhage. What is the most common cause of early postpartum hemorrhage?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has just delivered a baby and is experiencing postpartum hemorrhage due to lacerations on her cervix and vagina caused by rapid birth(Precipitous birth). Which of the following interventions should be included in her plan of care? Select all that apply:

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is providing discharge instructions to a client who had postpartum hemorrhage and received blood transfusions during her hospital stay. Which of the following information should the nurse include in the teaching? (Select all that apply)

Correct Answer is ["B","D","E"]

Explanation

A nurse is caring for a client who has just delivered a baby and is experiencing postpartum hemorrhage due to uterine atony. Which of the following medications should the nurse anticipate administering? Select all that apply:

Which of the following laboratory tests should the nurse report to the obstetrician when monitoring a client who is one day postpartum and has experienced significant postpartum hemorrhage?

A nurse is providing discharge instructions to a client who had postpartum hemorrhage due to placenta accreta and underwent hysterectomy. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is preparing to administer methylergonovine to a client who has a postpartum hemorrhage due to uterine atony. Which of the following assessments should the nurse perform prior to administration?

A nurse is caring for a client who has postpartum hemorrhage and is receiving IV fluids and blood products. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)

What is the most common cause of late postpartum hemorrhage?

A nurse is caring for a client who delivered vaginally 4 hours ago and has a boggy uterus that is displaced to the right of midline. Which of the following actions should the nurse take first?

A nurse is evaluating the effectiveness of interventions for a client who has postpartum hemorrhage due to retained placental fragments. Which of the following outcomes indicates that the interventions are successful?

Postpartum hemorrhage is classified into two groups: early postpartum hemorrhage and late postpartum hemorrhage.

What is the most common cause of early postpartum hemorrhage?