The nurse knows that late postpartum hemorrhage can be prevented by:
a. manually removing the placenta.
b. inspecting the placenta after birth.
c. administering broad-spectrum antibiotics.
d. pulling on the umbilical cord to hasten the birth of the placenta.
ANS: B
If a portion of the placenta is missing, the clinician can explore the uterus, locate the missing fragments, and remove the potential cause of late postpartum hemorrhage. Manual removal of the placenta increases the risk of postpartum hemorrhage. Broad-spectrum antibiotics will be given if postpartum infection is suspected. The placenta is usually delivered 5 to 30 minutes after birth of the baby without pulling on the cord. That can cause uterine inversion.
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