The nurse is educating her G5P5 postpartum patient at discharge after experiencing a postpartum hemorrhage post-delivery. Which education topics are appropriate for this patient?
Postpartum hemorrhage can occur late, even 2–4 weeks after delivery.
Do not breastfeed for at least 24 hours.
We may send you home on Oxytocin.
Report to the midwife or physician if you saturate your peri-pad in 1 hour or less.
Postpartum hemorrhage only occurs 24–48 hours after birth.
Correct Answer : A,C,D
Choice A rationale
Postpartum hemorrhage may occur weeks after delivery due to subinvolution of the uterus or retained placental fragments. Educating about late risks ensures patients monitor symptoms and seek timely care.
Choice B rationale
Breastfeeding is encouraged even after postpartum hemorrhage as it helps stimulate uterine contractions, reducing bleeding risk. Recommending avoidance could delay recovery and is scientifically unsupported unless contraindicated.
Choice C rationale
Oxytocin may be prescribed for ongoing uterine atony or to prevent late postpartum hemorrhage. It is essential to educate patients about its purpose and correct administration for safety and effectiveness.
Choice D rationale
Saturating a peri-pad within 1 hour may indicate active bleeding. Reporting this promptly ensures swift intervention to prevent further complications, aligning with standard postpartum care protocols.
Choice E rationale
Postpartum hemorrhage is not limited to 24–48 hours after birth; late-onset hemorrhage, occurring up to weeks later, is a known complication. Misleading patients with this incorrect timeframe can delay critical interventions.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Tone refers to uterine atony, the leading cause of postpartum hemorrhage. Tissue refers to retained placental fragments. Trauma includes lacerations or uterine rupture. Thrombin relates to coagulation disorders impacting clotting.
Choice B rationale
TOLAC (Trial of Labor After Cesarean) and thrombosis are unrelated to immediate hemorrhage management. Thrombosis generally involves venous clots, differing from thrombin, which concerns clotting factor deficiencies causing bleeding.
Choice C rationale
Tear and tolerance are non-specific terms lacking relevance to postpartum hemorrhage management. Time to search is impractical and unrelated to immediate intervention for hemorrhage or its causes.
Choice D rationale
"None of the above" is incorrect as the Four Ts (Tone, Tissue, Trauma, Thrombin) specifically address the primary causes of postpartum hemorrhage and are universally accepted in clinical guidelines.
Correct Answer is A
Explanation
Choice A rationale
Closed loop communication is essential in critical situations as it ensures that information is accurately sent, received, and confirmed, reducing errors by allowing team members to verify directives and actions.
Choice B rationale
Open-ended communication methods are prone to misinterpretations and delays in critical situations, making them unsuitable for ensuring precision and immediate understanding, as required in urgent medical scenarios.
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