Which of the following is a nursing intervention for postpartum hemorrhage?

The correct answer is choice B, D and E. These are the factors that put this client at risk for developing postpartum hemorrhage:

• Uterine overdistention: This occurs when the uterus is stretched too much by a large baby, multiple babies, or excess amniotic fluid.This can impair the normal contraction of the uterus after delivery and lead to bleeding.

• Oxytocin use: This is a hormone that stimulates uterine contractions during labor.However, prolonged or excessive use of oxytocin can cause uterine atony, which is the failure of the uterus to contract and compress the blood vessels after delivery.

• Chorioamnionitis: This is an infection of the membranes and amniotic fluid that surround the baby.It can cause inflammation and damage to the uterine lining, which can interfere with blood clotting and increase the risk of bleeding.

Choice A and C are wrong because:

• Grand multiparity: This means having given birth five or more times.It is not a risk factor for postpartum hemorrhage by itself, but it may be associated with other risk factors such as uterine overdistention, oxytocin use, or placental abnormalities.

• Precipitous labor: This means having a very fast labor, lasting less than three hours.It is not a risk factor for postpartum hemorrhage by itself, but it may be associated with other risk factors such as trauma to the birth canal, retained placenta, or coagulation disorders.

“I will seek counseling if I have feelings of grief or loss.” This statement indicates that the client understands the potential psychological impact of having a hysterectomy due to postpartum hemorrhage and placenta accreta, which is a condition where the placenta invades the uterine wall and causes severe bleeding.The client may experience emotional distress, such as sadness, anger, guilt, or anxiety, due to the loss of fertility and the traumatic event.

Seeking counseling can help the client cope with these feelings and adjust to the changes in her life.

Choice A is wrong because iron supplements are not necessary for at least 6 months after a hysterectomy.Iron supplements are usually prescribed for anemia caused by blood loss, but the duration of treatment depends on the severity of the anemia and the client’s response to therapy.

The client should have regular blood tests to monitor her hemoglobin and iron levels and follow the advice of her health care provider regarding iron supplementation.

Choice B is wrong because avoiding lifting anything heavier than the baby for 2 weeks is not enough to prevent complications after a hysterectomy.

A hyster ...