The nurse is assessing postpartum patients. Which patient is at risk for postpartum haemorrhage?

Vaginal delivery after 12 hours of Labor

Primiparity delivered at 10 cm dilation

Manual extraction of the placenta

Answer and Explanation

The Correct Answer is C

Choice A reason: Vaginal delivery after 12 hours of Labor, while potentially exhausting for the mother, does not inherently place her at a higher risk for postpartum haemorrhage compared to other factors. Prolonged Labor can be associated with certain complications, but it is not the most direct indicator of increased haemorrhage risk in the postpartum period.

Choice B reason: Primiparity, or being a first-time mother, delivered at full dilation of 10 cm is a normal part of the childbirth process. While first-time mothers might experience longer Labor durations, this alone does not signify a higher risk for postpartum haemorrhage. Risk factors for haemorrhage typically involve conditions or interventions that impact the uterus's ability to contract effectively after birth.

Choice C reason: Manual extraction of the placenta is a significant risk factor for postpartum haemorrhage. When the placenta does not detach and deliver on its own, manual removal is necessary, which can cause trauma to the uterus and interfere with its ability to contract properly after delivery. The lack of effective uterine contraction can lead to increased bleeding, making this a higher risk scenario for postpartum haemorrhage.

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

Explanation

Choice A reason: Infants born to diabetic parents are at risk for failure to thrive due to potential complications during pregnancy, such as poor blood glucose control, which can affect fatal growth and development. Additionally, these infants may experience issues such as hypoglycaemia after birth, requiring careful monitoring and management. Furthermore, the long-term impact of maternal diabetes on the infant's metabolic health can contribute to growth concerns, emphasizing the need for diligent care and follow-up.

Choice B reason: Infants born to low-income parents are at risk for failure to thrive due to socioeconomic factors that can impact their growth and development. Low-income families may face challenges in accessing adequate nutrition, healthcare, and safe living conditions, all of which are critical for the healthy growth of infants. Additionally, stress and limited resources can affect parenting practices, potentially leading to inadequate stimulation and care, further contributing to the risk of growth and developmental delays.

Choice C reason: An infant with a cleft palate is at risk for failure to thrive because feeding difficulties are common in these cases. A cleft palate can affect an infant's ability to suck and swallow properly, leading to inadequate nutrient intake and growth issues. Proper feeding techniques and medical interventions are necessary to support these infants. Moreover, frequent respiratory infections and other complications associated with cleft palate can impact overall health and growth, necessitating comprehensive care and monitoring.

Choice D reason: Infants born to teenage parents may be at risk for failure to thrive due to various factors, including the potential lack of experience, resources, and social support for the young parents. Teenage parents may face difficulties in providing consistent and adequate care, which can impact the infant's growth and development. Additionally, teenage parents may struggle with their own developmental challenges, such as completing education and securing employment, which can affect their ability to provide a stable and nurturing environment for their child.

Choice E reason: An infant with tetralogy of Fallot, a congenital heart defect, is at risk for failure to thrive due to the potential impact on the infant's overall health and energy levels. Infants with this condition may have difficulty feeding and gaining weight due to the increased energy expenditure required to compensate for their heart condition. They may also require surgical interventions and ongoing medical care, which can further impact growth and development. The need for specialized care and monitoring underscores the importance of addressing the unique challenges faced by these infants.

A. Three births at 37 to 42 weeks gestation. B. One birth between 20 weeks and 36 weeks 6 days gestation. C. One pregnancy loss before 20 weeks gestation. D. Three elective abortions. E. Four children currently living.

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

Explanation

Choice A reason: The designation T3 indicates that the patient has had three full-term births, defined as births that occurred between 37 and 42 weeks of gestation. This is part of the standard obstetric history notation.

Choice B reason: The notation P1 means the patient has had one preterm birth, which is defined as a birth that occurred between 20 weeks and 36 weeks 6 days of gestation. This is an important part of understanding the patient's pregnancy history.

Choice C reason: A2 denotes that the patient has had two pregnancy losses before 20 weeks of gestation, which can include miscarriages or stillbirths. This is crucial for assessing the patient's reproductive health history.

Choice D reason: There is no indication from the notation G6, T3, P1, A2, L4 that the patient has had three elective abortions. Elective abortions would be noted differently in the patient's chart if they were part of the obstetric history.

Choice E reason: The notation L4 indicates that the patient currently has four living children. This is an important part of the patient's obstetric history as it gives insight into their childbearing outcomes.

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The nurse is assessing postpartum patients. Which patient is at risk for postpartum haemorrhage?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for infants with the following conditions. Which infants would be at risk for failure to thrive? Select all that apply.

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

Explanation

A nurse is reviewing the chart of a patient on the postpartum unit. The chart indicates the patient is a G6, T3, P1, A2, L4. What is the nurse's interpretation of this patient's obstetric history? Select All That Apply

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

Explanation

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