ATI RN
Complication Postpartum Questions
Question 1 of 5
What is one of the initial signs and symptoms of puerperal infection in the postpartum client?
Correct Answer: D
Rationale: The correct answer is D because a temperature of 38°C (100.4°F) or higher on 2 successive days is a key sign of puerperal infection. This is due to the body's response to infection. Fatigue (choice A) can be a symptom but is nonspecific. Pain with voiding (choice B) may indicate a urinary tract infection. Profuse vaginal lochia (choice C) may be normal postpartum.
Question 2 of 5
Which condition is considered a medical emergency that requires immediate treatment?
Correct Answer: A
Rationale: The correct answer is A: Inversion of the uterus. This condition is a medical emergency as it involves the uterus turning inside out, which can lead to severe hemorrhage and shock. Immediate treatment is crucial to prevent further complications. B: Hypotonic uterus, while concerning, does not pose an immediate life-threatening risk compared to uterine inversion. C: ITP (Immune Thrombocytopenic Purpura) is a disorder affecting platelet levels, but it is not a medical emergency that requires immediate treatment like uterine inversion. D: Uterine atony is a common postpartum complication, but it does not pose the same urgent threat as uterine inversion.
Question 3 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 correct answer is A: Uterine atony. A steady trickle of bright red blood with a firm fundus suggests uterine atony, which is the inability of the uterus to contract effectively after childbirth. This can lead to postpartum hemorrhage. Other choices are incorrect as they do not align with the clinical presentation. B: Lacerations of the genital tract would present with more active bleeding and not a steady trickle. C: Perineal hematoma involves bleeding in the perineal area, not from the vagina. D: Infection of the uterus would typically present with other symptoms like fever and foul-smelling discharge.
Question 4 of 5
Which medications are used to manage PPH? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Oxytocin. Oxytocin is the first-line medication for managing postpartum hemorrhage (PPH) as it helps in the contraction of the uterus to control bleeding. Methergine (B) is used for uterine atony but is not the first-line choice. Terbutaline (C) is a tocolytic agent and not indicated for PPH. Hemabate (D) is used as a second-line medication for PPH after oxytocin.
Question 5 of 5
The nurse works in a labor and delivery facility with new protocols for estimating postpartum blood loss. Which method for estimating blood loss is implemented in the delivery room?
Correct Answer: B
Rationale: The correct answer is B because collecting blood in calibrated, under-buttocks drapes for vaginal birth allows for a more accurate estimation of postpartum blood loss. This method provides a quantitative measurement, unlike the subjective method in option A. Option C does not provide a direct measurement of blood loss and may not be accurate. Option D relies on the health care provider's estimate, which may not always be precise or consistent. By using calibrated drapes, the nurse can easily measure and monitor blood loss, ensuring better patient care and outcomes.