A nurse is assessing a postpartum person for signs of postpartum hemorrhage. What is the most common early sign of postpartum hemorrhage?

Correct Answer: C

Rationale: The correct answer is C: pale skin. This is because the most common early sign of postpartum hemorrhage is hypovolemia, which leads to decreased perfusion and oxygenation of tissues. Pale skin indicates decreased blood flow and oxygen delivery, a key indicator of hypovolemia. Excessive bleeding (choice A) is a symptom, not a sign. Low blood pressure (choice B) is a late sign of postpartum hemorrhage. Dark red bleeding (choice D) may indicate the presence of clots but is not specific to early postpartum hemorrhage.

Correct Answer: B

Rationale: The correct answer is B: tachycardia. Fetal distress is often indicated by an increased fetal heart rate, known as tachycardia. This can be a sign of the fetus not receiving enough oxygen. Bradycardia (choice C) is a lower heart rate and not typically associated with fetal distress. Irregular fetal heart rate (choice D) may also indicate distress, but tachycardia is more commonly observed. Increasing oxygen flow (choice A) is a potential intervention for fetal distress but not a sign of distress itself. In summary, tachycardia is the most common sign of fetal distress due to potential oxygen deprivation.

Correct Answer: C

Rationale: The correct answer is C: decreased fetal movement. Uterine rupture can lead to decreased blood flow to the fetus, resulting in reduced fetal movement. This sign is crucial as it indicates fetal distress and the need for immediate medical intervention. Abdominal pain (A) can be present but is not specific to uterine rupture. Vaginal bleeding (B) is a sign of placental abruption, not uterine rupture. Increased fetal heart rate (D) can occur due to fetal distress, but decreased fetal movement is a more direct sign of uterine rupture.

Correct Answer: A

Rationale: The correct answer is A: apply lanolin cream. Lanolin cream helps soothe and moisturize sore nipples, providing relief during breastfeeding. It is safe for both the mother and the baby. Applying lanolin cream after each feeding can prevent further irritation and promote healing. Incorrect choices: B: Administering IV fluids is not indicated for sore nipples. C: Performing uterine massage is unrelated to treating sore nipples. D: Applying cold compress may provide temporary relief but does not address the underlying issue of sore nipples.

Correct Answer: B

Rationale: The correct answer is B: administer analgesics. Pain management is crucial to promote effective breastfeeding as it can help the postpartum person be more comfortable and relaxed during breastfeeding sessions. This can lead to better latch and milk transfer, ultimately enhancing the breastfeeding experience. A: assist with positioning - While positioning is important for successful breastfeeding, it is not the most crucial action compared to pain management. C: administer IV fluids - IV fluids are not directly related to promoting effective breastfeeding. Hydration is important but not the most critical factor in this scenario. D: assist with breastfeeding positioning - This choice is similar to option A and while important, it is not as critical as ensuring proper pain management for effective breastfeeding.