A 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:

1. uterine atony.
2. uterine inversion.
3. vaginal hematoma.
4. vaginal laceration.


1
1. Correct. Uterine atony is marked hypotonia of the uterus. It is the leading cause of post-partum hemorrhage.
2. Incorrect. Uterine inversion may lead to hemorrhage, but is not the most likely source of this client's bleeding. Furthermore, it would be evident if the woman were experiencing a uterine inversion by the presence of a large, red, rounded mass protruding from the introitus.
3. Incorrect. A vaginal hematoma may be associated with hemorrhage. However, the most likely clinical finding would be pain, not the presence of profuse bleeding.
4. Incorrect. A vaginal laceration may cause hemorrhage but it is more likely that profuse bleeding would result from uterine atony. A vaginal laceration should be suspected if vaginal bleeding continues with the presence of a firm, contracted uterine fundus.

Nursing

You might also like to view...

You are a nurse manager of an ICU in a local hospital and have lost two nurses on your staff. One nurse quit and the other nurse is receiving treatment in a center for alcohol abuse

What type of group would you recommend to your staff before considering a transfer or quitting? 1. Nurse-to-nurse support group 2. Nurse storytelling group 3. Nurse bibliotherapy group 4. Nurse Alcoholics Anonymous group

Nursing

A patient who is scheduled for a partial laryngectomy asks if he will still be able to talk after the surgery

What are appropriate nursing responses to this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "No, you will not.". 2. "You will have to ask your physician.". 3. "Yes, but it might sound a little different.". 4. "You will be able to talk, but with an electronic device.". 5. "Speech is usually preserved, but we will know better after surgery.".

Nursing

A client who has recently lost the 75 pounds recommended by his physician continues to dress in loose, baggy clothing and frequently refers to himself as "fat

" The nurse interprets this finding as most likely indicating which of the following? A) Body image disturbance B) Lack of education C) Role confusion D) Fear of success

Nursing

Body alignment is:

a. The way the head, trunk, arms, and legs are aligned with one another b. The same as body mechanics c. Base of support d. Ergonomics

Nursing