Practice Question
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago. Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)
Answer Choices:
Correct Answer:
History of uterine atony
Rationale:
History of uterine atony
🎀 Clients with a history of uterine atony are at high risk for postpartum hemorrhage due to the uterus failing to contract effectively after delivery.
🎀 This condition leads to continued bleeding because the uterus cannot compress blood vessels at the placental site.
🎀 Prior episodes increase the likelihood of recurrence in subsequent births, requiring close monitoring.
Labor induction with oxytocin
🎀 Oxytocin-induced labor can overstimulate the uterus, causing uterine muscle fatigue and reducing the effectiveness of postpartum contractions.
🎀 This increases the risk of atony and hemorrhage in the immediate postpartum period.
🎀 Continuous oxytocin use may also mask poor uterine tone, leading to delayed detection of bleeding.
Vacuum-assisted delivery
🎀 Instrumental deliveries are linked to greater trauma, including genital tract lacerations and uterine exhaustion.
🎀 Vacuum assistance may also cause retained placental fragments or ineffective uterine involution.
🎀 These factors collectively contribute to a higher chance of postpartum hemorrhage.
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This question is from RN ATI Maternal Newborn NGN- 2019~Exam 2 which contains 62 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 5