ATI RN
Complications of Postpartum Questions
Question 1 of 5
Nurses need to understand the basic definitions and incidence data regarding PPH. Which statement regarding this condition is most accurate?
Correct Answer: B
Rationale: The most accurate statement regarding the basic definitions and incidence data of postpartum hemorrhage (PPH) is statement B. Traditionally, PPH is defined as losing more than 1000 ml of blood after vaginal birth and more than 2500 ml after cesarean birth. This definition helps healthcare providers recognize and diagnose PPH based on the amount of blood loss, which is crucial for prompt intervention and management.
Question 2 of 5
Which is the initial treatment for the client with vWD who experiences a PPH?
Correct Answer: C
Rationale: Desmopressin (DDAVP) is the initial treatment for a client with von Willebrand disease (vWD) who experiences a postpartum hemorrhage (PPH). Desmopressin works by releasing von Willebrand factor (vWF) stored in the endothelial cells, increasing the levels of vWF and factor VIII. This can help improve clotting function in patients with vWD, thereby helping to stop the bleeding. It is a safe and effective treatment for many individuals with vWD and is often used as the first-line therapy in cases of bleeding episodes or surgeries. Cryoprecipitate may also be used in severe bleeding situations if desmopressin is ineffective. Hemabate is not indicated for the treatment of vWD and PPH.
Question 3 of 5
If nonsurgical treatment for late PPH is ineffective, which surgical procedure would be appropriate to correct the cause of this condition?
Correct Answer: A
Rationale: Hysterectomy is a surgical procedure that involves the removal of the uterus. In cases where nonsurgical treatment for late postpartum hemorrhage (PPH) is ineffective, and the cause of the condition is related to the uterus (such as retained placental tissue, uterine atony, or placenta accreta), a hysterectomy may be necessary to stop the bleeding and correct the underlying issue. Hysterectomy is considered a definitive treatment for PPH when other interventions have failed to control the bleeding.
Question 4 of 5
Lacerations of the cervix, vagina, or perineum are also causes of PPH. Which factors influence the causes and incidence of obstetric lacerations of the lower genital tract? (Select all that apply.)
Correct Answer: A
Rationale: A. Operative and precipitate births: Obstetric lacerations of the lower genital tract are more likely to occur during operative deliveries (such as forceps or vacuum-assisted deliveries) and precipitate births (very rapid deliveries) due to the increased forces and speed involved during these types of deliveries.
Question 5 of 5
The nurse is aware the greatest source of bleeding during childbirth occurs following detachment of the placenta. Which physiological change takes place immediately after the expulsion of the placenta to decrease the amount of blood loss?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.