Practice Question
A nurse is assessing a client who is postpartum and is experiencing hemorrhagic shock. Which of the following findings should the nurse expect?
Answer Choices:
Correct Answer:
Tachycardia
Rationale:
🚑In postpartum hemorrhagic shock, the earliest compensatory response to acute intravascular volume loss is sinus tachycardia to maintain cardiac output.
🚑As blood volume falls, baroreceptor-mediated sympathetic activation increases heart rate and contractility before blood pressure declines.
🚑Persistent tachycardia with cool, clammy skin, delayed capillary refill, and anxiety signals worsening perfusion.
🚑Untreated, shock progresses to hypotension, oliguria, altered mentation, and metabolic acidosis.
🚑Immediate priorities include uterine massage, uterotonics, two large-bore IVs, blood products, and rapid source control, but the expected finding at recognition is tachycardia.
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This question is from RN-Maternal Newborn 2023 which contains 68 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