Which measure would the nurse expect for preventing postpartum hemorrhage?
Manually removing the placenta after delivery.
Administering broad-spectrum antibiotics for 48 hours.
Applying pressure to the umbilical cord to remove the placenta.
Encouraging frequent urination.
The Correct Answer is D
Choice A rationale
Manually removing the placenta can introduce infection and cause uterine injury, which are not preventive measures for postpartum hemorrhage but treatments for retained placenta requiring sterile conditions and medical indication.
Choice B rationale
Administering antibiotics does not directly prevent postpartum hemorrhage, as it focuses on managing infections like endometritis. Hemorrhage prevention is better addressed by uterine tone management and avoiding excessive bleeding.
Choice C rationale
Applying pressure to the umbilical cord can lead to uterine inversion, worsening hemorrhage. Controlled cord traction during active management of the third stage is safer and reduces hemorrhage risk effectively.
Choice D rationale
Frequent urination prevents bladder distension, which enhances uterine contraction. A contracted uterus reduces hemorrhage risk by compressing blood vessels. Distended bladder inhibits proper uterine contraction, increasing hemorrhage likelihood.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
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.
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale
Hemabate (carboprost) is a prostaglandin analog that induces uterine contractions, effectively reducing bleeding. It is often used when first-line agents fail to control postpartum hemorrhage.
Choice B rationale
Terbutaline is a tocolytic agent used to delay premature labor by relaxing uterine muscles. It is contraindicated in postpartum hemorrhage as it inhibits uterine contraction, worsening bleeding.
Choice C rationale
Oxytocin stimulates uterine contractions by acting on oxytocin receptors in the myometrium. It is the first-line treatment for postpartum hemorrhage to promote hemostasis through uterine contraction.
Choice D rationale
Methergine (methylergonovine) enhances uterine tone and decreases bleeding by inducing sustained contractions via stimulation of uterine smooth muscle serotonin and alpha-adrenergic receptors.
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