N 109 MCN AT RISK

To be considered a PPH, what would the estimated blood loss have to be for a C-section?

• < 550 ML

• > 600 ML

• > 1000 ML

• < 900 ML

The most common cause of postpartum hemorrhage is:

• Uterine overdistention

• Lower genital tract lacerations

• Uterine atony

• Hematologic disorders

A nurse is monitoring a new mother in the PP period for signs of hemorrhage. Which of the following signs, if noted in the mother, would be an early sign of excessive blood loss?

• A temperature of 100.4*F

• An increase in the pulse from 88 to 102 BPM

• An increase in the respiratory rate from 18 to 22 breaths per minute

• A blood pressure change from 130/88 to 124/80 mm Hg

Methergine or Pitocin is prescribed for a woman to treat PP hemorrhage. Before administration of these medications, the priority nursing assessment is to check the:

• Amount of lochia

• Blood pressure

• Deep tendon reflexes

• Uterine tone

Atonic bleeding is due to a lack of tone in the uterus.

• True

• False

What types of trauma during labour and birth would lead to PPH risk?

• Instrumental assisted birth (vacuum or forceps)

• C-Section

• Lacerations of the cervix or vaginal wall

• All of the above

Which of the following complications is most likely responsible for a delayed postpartum hemorrhage?

• Cervical laceration

• Clotting deficiency

• Perineal laceration

• Uterine subinvolution

Which measure would be least effective in preventing postpartum hemorrhage?

• Administer Methergine 0.2 mg every 6 hours for 4 doses as ordered

• Encourage the woman to void every 2 hours

• Massage the fundus every hour for the first 24 hours following birth

• Teach the woman the importance of rest and nutrition to enhance healing

What is the definition of phlebitis in relation to a vein?

• Inflammation of a vein

• Removal of a vein

• Death of a vein

• Loss of a vein

Which of the following can cause phlebitis?

• Trauma

• Problems with clotting

• Changes in how blood flows through veins

• All three answers are correct