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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale
Hyperglycemia, or high blood sugar, is not typically associated with poor feeding and low temperature in infants. It’s more commonly seen in conditions like diabetes.
Choice B rationale
Neonatal infection could cause an infant to feed poorly and have a low temperature. These symptoms could be a sign of sepsis, a serious and potentially life-threatening infection that requires immediate medical attention.
Choice C rationale
Hemolytic anemia, a condition where red blood cells are destroyed faster than they can be made, is not typically associated with poor feeding and low temperature in infants.
Choice D rationale
Prematurity could potentially cause poor feeding and low temperature, but these symptoms would not typically appear suddenly in a well-baby nursery setting.

A. Age of 25 years B. History of smoking C. Diabetes since the age of 15 D. Weight below the standard for height and age

Correct Answer is A

Explanation

Choice A rationale
Age of 25 years is not typically identified as a potential risk factor for infertility. Women in their mid-twenties are often in their peak reproductive years.
Choice B rationale
A history of smoking can potentially impact fertility. Smoking can harm the ovaries and the eggs they produce, potentially leading to fertility issues.
Choice C rationale
Diabetes since the age of 15 could potentially impact fertility. Diabetes can cause irregular menstrual cycles and other reproductive issues, which could lead to difficulty conceiving. Choice D rationale
Weight below the standard for height and age could potentially impact fertility. Being underweight can lead to irregular menstrual cycles and ovulation, which could lead to difficulty conceiving.

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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?

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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?