ATI RN
Complication Postpartum Questions
Question 1 of 5
The nurse suspects that her postpartum client is experiencing hemorrhagic shock. Which observation indicates or would confirm this diagnosis?
Correct Answer: D
Rationale: Hemorrhagic shock is characterized by inadequate tissue perfusion due to severe blood loss, leading to decreased circulating volume. The body's compensatory mechanisms kick in to maintain blood pressure, causing the peripheral blood vessels to constrict. This constriction can lead to cool, clammy, and pale skin as the body shunts blood away from the skin's surface to the vital organs. The skin may also feel cool to the touch due to reduced perfusion. This observation is significant in indicating hemorrhagic shock because it signifies the body's response to the insufficient circulating volume and the need to prioritize perfusion to essential organs.
Question 2 of 5
A woman who has recently given birth complains of pain and tenderness in her leg. On physical examination, the nurse notices warmth and redness over an enlarged, hardened area. Which condition should the nurse suspect, and how will it be confirmed?
Correct Answer: C
Rationale: Pain and tenderness in the extremities, which show warmth, redness, and hardness, is likely thrombophlebitis. A Doppler ultrasound examination is a common noninvasive way to confirm the diagnosis. A diagnosis of DIC is made according to clinical findings and laboratory markers. With DIC, a physical examination will reveal symptoms that may include unusual bleeding, petechiae around a blood pressure cuff on the woman’s arm, and/or excessive bleeding from the site of a slight trauma such as a venipuncture site. Symptoms of vWD, a type of hemophilia, include recurrent bleeding episodes, prolonged bleeding time, and factor VIII deficiency. A risk for PPH exists with vWD but does not exhibit a warm or reddened area in an extremity. ITP is an autoimmune disorder in which the life span of antiplatelet antibodies is decreased. Increased bleeding time is a diagnostic finding, and the risk of postpartum uterine bleeding is increase
Question 3 of 5
Which condition is considered a medical emergency that requires immediate treatment?
Correct Answer: A
Rationale: Inversion of the uterus is considered a medical emergency that requires immediate treatment. It occurs when the uterus turns inside out and protrudes through the cervix, which can lead to severe hemorrhage and shock. Prompt intervention is crucial to restore the uterus to its normal position, control bleeding, and prevent further complications such as infection or tissue necrosis. Failure to address uterine inversion promptly can result in life-threatening consequences for the mother. In contrast, hypotonic uterus, ITP (Idiopathic Thrombocytopenic Purpura), and uterine atony, while serious conditions, do not typically constitute immediate emergencies that necessitate urgent intervention on the same time-critical scale as uterine inversion.
Question 4 of 5
What would a steady trickle of bright red blood from the vagina in the presence of a firm fundus suggest to the nurse?
Correct Answer: A
Rationale: The steady trickle of bright red blood from the vagina in the presence of a firm fundus suggests uterine atony. Uterine atony is a condition where the uterus fails to contract effectively after childbirth, resulting in postpartum hemorrhage. The firm fundus indicates that the uterus is not properly contracting to control bleeding, leading to the continuous flow of blood from the vagina. Prompt intervention is crucial to manage uterine atony and prevent further complications such as excessive blood loss.
Question 5 of 5
Which medications are used to manage PPH? (Select all that apply.)
Correct Answer: A
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