Which woman is at greatest risk for early postpartum hemorrhage?
a. A primiparous woman (G 2 P 1 0 0 1) being prepared for an emergency cesarean
birth for fetal distress
b. A woman with severe preeclampsia on magnesium sulfate whose labor is being
induced
c. A multiparous woman (G 3 P 2 0 0 2) with an 8-hour labor
d. A primigravida in spontaneous labor with preterm twins
B
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A Although many causes and risk factors are associated with PPH, this scenario
does not pose risk factors or causes of early PPH.
B Magnesium sulfate administration during labor poses a risk for PPH. Magnesium
acts as a smooth muscle relaxant, thereby contributing to uterine relaxation and
atony.
C Although many causes and risk factors are associated with PPH, this scenario
does not pose risk factors or causes of early PPH.
D Although many causes and risk factors are associated with PPH, this scenario
does not pose risk factors or causes of early PPH.
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