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Practice Question

A nurse is discussing risk factors of postpartum hemorrhage with a newly licensed nurse. Which of the following conditions is a risk factor for postpartum hemorrhage that the nurse should include in the teaching?

Answer Choices:

Correct Answer:

Retained placental fragments.

Rationale:

💎 Retained placental fragments prevent complete uterine involution and are a leading cause of early postpartum hemorrhage.

💎 They interfere with the uterus's ability to contract, which increases the risk for continued bleeding.

💎 Identification requires careful inspection of the placenta after delivery and monitoring for boggy uterus or excessive lochia.

💎 Risk is higher in cases of manual placental removal or incomplete separation.

💎 Prompt recognition helps initiate timely interventions like uterine massage, medications, or surgical removal.

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This question is from RN ATI Maternal Newborn with NGN~2019. which contains 66 questions.

More Questions from This Exam
After completing post anesthesia recovery assessments, the registered nurse (RN) asks the practical nurse (PN) to transfer four clients, each two hours post-birth, to the postpartum unit. Which client should the PN ask the RN to reassess prior to transfer?

Answer Choices:

A. A primigravida whose perineal pain has worsened one hour after being medicated.
B. A multigravida whose peri-pad is 1/4 saturated with lochia rubra after one hour.
C. A multigravida complaining of strong afterbirth pains when breastfeeding.
D. A primigravida who passed a small clot when she sat up on the edge of the bed
A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions should the nurse include in the plan of care?

Answer Choices:

A. Use a fetal scalp electrode during labor and delivery.
B. Bathe the newborn before initiating skin-to-skin contact.
C. Instruct the client to stop taking the antiretroviral medications at 32 weeks of gestation.
D. Administer a pneumococcal immunization to the newborn within 4 hours
A nurse is teaching a client and her partner about the technique of counterpressure during labor. Which of the following statements by the nurse is appropriate?

Answer Choices:

A. "Your partner will apply continuous, firm pressure between your thumb and index finger."
B. "Your partner will apply pressure to the top of your uterus during contractions
C. "Your partner will apply upward pressure on you."
D. "Your partner will apply steady pressure with a tennis ball to your finger.z
A nurse is providing discharge instructions to a client who is 24 hours postpartum and has decided not to breastfeed. Which of the following instructions should the nurse include in the teaching?

Answer Choices:

A. "Apply ice packs to your breasts using a 15 minutes on, 45 minutes off schedule."
B. "Shower daily, allowing warm water to run directly over your breasts."
C. "Wear a loose-fitting nonbinding bra for 72 hours.
D. "Pump your breasts twice daily to relieve discomfort from engorgement."
From Exam
RN ATI Maternal Newborn with NGN~2019.

66 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Maternal & Newborn Care
  • Answer Choices: 4
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