The perinatal nurse is caring for a woman in the immediate postbirth period. Assessment reveals that the woman is experiencing profuse bleeding. The most likely etiology for the bleeding is
a. Uterine atony
b. Uterine inversion
c. Vaginal hematoma
d. Vaginal laceration
A
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A Uterine atony is marked hypotonia of the uterus. It is the leading cause of
postpartum hemorrhage.
B Uterine inversion may lead to hemorrhage, but it is not the most likely source of
this patient's bleeding. Furthermore, if the woman was experiencing a uterine
inversion, it would be evidenced by the presence of a large, red, rounded mass
protruding from the introitus.
C A vaginal hematoma may be associated with hemorrhage. However, the most
likely clinical finding would be pain, not the presence of profuse bleeding.
D A vaginal laceration may cause hemorrhage; however, it is more likely that
profuse bleeding would result from uterine atony. A vaginal laceration should be
suspected if vaginal bleeding continues in the presence of a firm, contracted
uterine fundus.
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The best cure for pressure ulcers is
A. anti-inflammatory drugs. B. prevention. C. antibiotics. D. protectants.
The perinatal nurse knows that the term to describe a woman at 26 weeks' gestation with a history of elevated blood pressure who presents with a urine showing 2+ protein (by dipstick) is:
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