Which of the following is most indicative of postpartum subinvolution?
Uterine atony.
Prolonged lochia discharge.
Severe cramping.
High fever.
The Correct Answer is B
Choice A rationale
Uterine atony refers to a lack of muscle tone in the uterus, leading to postpartum hemorrhage, not subinvolution.
Choice B rationale
Prolonged lochia discharge indicates incomplete uterine involution, as the uterus has not returned to its pre-pregnancy size.
Choice C rationale
Severe cramping may be related to other postpartum complications and is not specific to subinvolution.
Choice D rationale
High fever is more indicative of an infection rather than subinvolution of the uterus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Postmaturity syndrome occurs in pregnancies that extend beyond 42 weeks, not in cases of premature labor.
Choice B rationale
Premature labor can increase the risk of neonatal infections due to the underdeveloped immune system of preterm infants.
Choice C rationale
Macrosomia refers to a large newborn, typically associated with prolonged pregnancies, not premature labor.
Choice D rationale
Maternal hypertension can lead to premature labor, but premature labor does not increase the risk of developing maternal hypertension.
Correct Answer is D
Explanation
Choice A rationale
Multiple gestation increases pregnancy risks but is not directly linked to cervical insufficiency, which involves premature cervical dilation leading to preterm birth or loss without uterine contractions.
Choice B rationale
Advanced maternal age presents various pregnancy risks, including chromosomal abnormalities and hypertension, but is not a primary risk factor for cervical insufficiency, which involves cervical structural issues.
Choice C rationale
A history of preterm labor involves previous early deliveries but does not specifically indicate cervical insufficiency, which is characterized by painless cervical dilation and effacement in the second trimester.
Choice D rationale
Cervical surgery, such as conization or LEEP, can weaken the cervical structure, increasing the risk of cervical insufficiency by reducing the cervix’s ability to remain closed during pregnancy.
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