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Postpartum Hemorrhage Questions and Answers Already Passed
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Postpartum Hemorrhage Questions and Answers Already Passed What are the primary causes of postpartum hemorrhage, and how should each be managed? The primary causes of postpartum hemorrhage include uterine atony, retained placenta, vaginal or cervical lacerations, and coagulation disorder...

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  • August 28, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • postpartum hemorrhage questions and answers alrea

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  • Postpartum Hemorrhage
  • Postpartum Hemorrhage

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Postpartum Hemorrhage Questions and
Answers Already Passed
What are the primary causes of postpartum hemorrhage, and how should each be managed?




✔✔ The primary causes of postpartum hemorrhage include uterine atony, retained placenta,

vaginal or cervical lacerations, and coagulation disorders. Management involves uterine massage

and oxytocin for uterine atony, manual removal or surgical intervention for retained placenta,

repair of lacerations, and treatment of coagulation disorders with appropriate medications and

blood products.




How can a nurse assess for postpartum hemorrhage effectively during routine postpartum

checks?




✔✔ The nurse should assess the amount and characteristics of lochia, monitor the firmness and

position of the uterine fundus, check vital signs for signs of shock (such as low blood pressure

and rapid heart rate), and observe for excessive or sudden bleeding that may indicate

hemorrhage.




What are the key nursing interventions for a postpartum patient who is experiencing severe

bleeding?

1

,✔✔ Key interventions include performing uterine massage to stimulate contractions,

administering prescribed uterotonics (such as oxytocin), ensuring intravenous access and

administering fluids and blood products as ordered, and monitoring the patient’s vital signs and

fluid balance closely.




How should a nurse respond if a postpartum patient exhibits signs of a retained placenta?




✔✔ The nurse should notify the healthcare provider immediately, assist with manual removal of

the placenta if indicated, continue to monitor bleeding and uterine tone, and provide supportive

care to the patient while preparing for possible further interventions.




What are the signs of postpartum hemorrhage that require immediate medical attention?




✔✔ Signs that require immediate medical attention include a significant increase in the amount

of bleeding, a uterine fundus that remains soft despite massage, signs of shock (such as rapid

heart rate, low blood pressure, and pale, clammy skin), and the presence of large blood clots or

bright red bleeding that persists beyond the normal postpartum period.




How can postpartum hemorrhage be prevented in high-risk patients?

2

, ✔✔ Prevention strategies include identifying and managing risk factors such as multiple

gestations, previous cesarean sections, and uterine overdistention, administering prophylactic

uterotonics immediately after delivery, and ensuring that the placenta is fully expelled and intact.




What role does patient education play in managing postpartum hemorrhage?




✔✔ Patient education is crucial in helping patients recognize signs of abnormal bleeding,

understand the importance of monitoring for symptoms of postpartum hemorrhage, and know

when to seek immediate medical help. Educating patients about proper post-delivery care and

what to expect can improve early detection and intervention.




How should a nurse manage the psychological impact of postpartum hemorrhage on a patient?




✔✔ The nurse should provide emotional support, offer reassurance, and address any fears or

anxieties the patient may have about their recovery. Providing clear explanations of the situation

and involving the patient in their care plan can help alleviate stress and anxiety. Referring the

patient to mental health support services if needed is also important.




Early postpartum hemorrhage ✔✔occurs within 24 hours of birth

3

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