The initial nursing intervention when caring for a woman experiencing an obstetric hemorrhage associated with uterine atony is to:

Prepare the woman for surgical intervention.

Perform fundal massage.

Establish venous access.

Catheterize the bladder.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Surgical intervention is not the initial step for uterine atony as conservative measures, such as fundal massage, are prioritized to encourage uterine contraction and reduce bleeding.

Choice B rationale

Fundal massage stimulates uterine contraction by mechanically compressing the myometrium, which helps to constrict the spiral arteries and reduce hemorrhage caused by uterine atony.

Choice C rationale

Establishing venous access is critical for fluid resuscitation but does not directly address the underlying cause of hemorrhage, which requires mechanical or pharmacological uterine contraction.

Choice D rationale

Catheterizing the bladder can prevent displacement of the uterus but does not directly address uterine atony. An empty bladder supports fundal massage by allowing proper uterine positioning.

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Correct Answer is C

Explanation

Choice A rationale

Feeling tired and wanting to sleep longer postpartum is common due to disrupted sleep from infant care, but it doesn't specifically indicate postpartum depression, which involves significant mood and emotional changes.

Choice B rationale

Occasional headaches postpartum can result from hormonal changes or stress, resolving with analgesics like Tylenol, and are not indicative of postpartum depression without associated mood disturbances like sadness or crying episodes.

Choice C rationale

Persistent crying and daily sadness are hallmark signs of postpartum depression, linked to hormonal imbalances, disrupted serotonin regulation, and social or emotional factors affecting maternal mental health postpartum.

Choice D rationale

Restlessness may be attributed to anxiety, but it alone doesn't conclusively diagnose postpartum depression, which involves deeper and more pervasive mood changes such as sadness or emotional withdrawal.

A. Retained placenta fragments. B. Vaginal hematoma. C. Uterine atony. D. Uterine inversion.

Correct Answer is C

Explanation

Choice A rationale

Retained placental fragments lead to delayed, not immediate, postpartum hemorrhage as they prevent complete uterine contraction over time.

Choice B rationale

Vaginal hematomas cause concealed, localized bleeding with minimal external blood loss, differing from profuse hemorrhage presentations.

Choice C rationale

Uterine atony, the most common cause, occurs when the uterus fails to contract effectively, leading to uncontrolled and excessive bleeding.

Choice D rationale

Uterine inversion, though serious, is rare and typically accompanied by visible uterine prolapse, not commonly causing profuse bleeding in the immediate postbirth period.

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The initial nursing intervention when caring for a woman experiencing an obstetric hemorrhage associated with uterine atony is to:

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Naxlex Comprehensive Predictor Exams

The nurse is making a home visit three weeks postpartum. The nurse suspects the client is experiencing postpartum depression when she makes which of the following statements?

Correct Answer is C

Explanation

The perinatal nurse is caring for a woman in the immediate postbirth period. Assessment reveals that the woman is experiencing profuse bleeding. The most likely etiology for the bleeding is:

Correct Answer is C

Explanation

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