The postpartum woman is experiencing heavy lochia and has required frequent fundal massage over the past 24- hour period.
Which of the following factors may have contributed to the uterine atony?
Premature rupture of membranes
Delivery of an intact placenta within 30 minutes of the birth of the infant
Multigravida status
History of sexually transmitted infections
The Correct Answer is C
Choice A rationale
Premature rupture of membranes is a condition that can occur during pregnancy, but it is not directly linked to uterine atony or heavy lochia after delivery.
Choice B rationale
Delivery of an intact placenta within 30 minutes of the birth of the infant is a normal occurrence and would not contribute to uterine atony or heavy lochia.
Choice C rationale
Multigravida status, or having been pregnant more than once, can contribute to uterine atony. The uterus may not contract effectively after multiple pregnancies, leading to heavy lochia.
Choice D rationale
While a history of sexually transmitted infections can impact overall reproductive health, it is not directly linked to uterine atony or heavy lochia after delivery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Insufficient dietary intake is not the main cause of hot flashes and night sweats in postmenopausal women.
Choice B rationale
Deficiency in estrogen is the primary cause of hot flashes and night sweats in postmenopausal women. During menopause, the levels of estrogen, a hormone that regulates the body’s temperature among other things, decrease. This can disrupt the body’s temperature control, leading to hot flashes and night sweats.
Choice C rationale
An active lifestyle is not the main cause of hot flashes and night sweats in postmenopausal women.
Choice D rationale
Changes in vaginal pH are not the main cause of hot flashes and night sweats in postmenopausal women.
Correct Answer is A
Explanation
Choice A rationale
After a birth complicated by shoulder dystocia, it is important to palpate the infant’s clavicles. This is because shoulder dystocia can lead to a clavicle fracture.
Choice B rationale
While encouraging the parents to hold the infant is generally a good practice, it is not the immediate action to take after a birth complicated by shoulder dystocia.
Choice C rationale
A complete newborn assessment is important, but the immediate action after a birth complicated by shoulder dystocia is to check for any injuries related to the difficult birth.
Choice D rationale
Giving supplemental oxygen is not the immediate action to take after a birth complicated by shoulder dystocia unless the baby shows signs of respiratory distress.
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