A woman gave birth to a 7 pound, 3 ounce infant boy 2 hours ago. The nurse determines that the woman's bladder is distended because her fundus is now 3 cm above the umbilicus and to the right of the midline
In the immediate postpartum period, the most serious consequence likely to occur from bladder distention is: 1. a urinary tract infection.
2. excessive uterine bleeding.
3. a ruptured bladder.
4. bladder wall atony.
2
1. Incorrect. A urinary tract infection may result from overdistention of the bladder, but is not the most serious consequence.
2. Correct. Immediately after birth, excessive bleeding can occur if the bladder becomes distended because this pushes the uterus up and to the side and prevents the uterus from firmly contracting.
3. Incorrect. A ruptured bladder may result from a severely overdistended bladder. However, vaginal bleeding would most likely occur before this level of overdistention.
4. Incorrect. Bladder distention may result from bladder wall atony. The most serious con-cern associated with bladder distention is excessive uterine bleeding.
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