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OB Exam 2 - Postpartum Hemorrhage and Postpartum Care Questions with Verified Answers

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OB Exam 2 - Postpartum Hemorrhage and Postpartum Care Questions with Verified Answers What are the common signs of endometritis in a postpartum patient, and how is it managed? Signs of endometritis include fever, abdominal pain, and abnormal or foul-smelling lochia. Management includes ...

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  • 28 augustus 2024
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OB Exam 2 - Postpartum Hemorrhage
and Postpartum Care Questions with
Verified Answers
What are the common signs of endometritis in a postpartum patient, and how is it managed?




✔✔ Signs of endometritis include fever, abdominal pain, and abnormal or foul-smelling lochia.

Management includes antibiotics, supportive care, and monitoring for symptoms of systemic

infection.




What is the significance of monitoring fundal height and uterine tone in the postpartum period?




✔✔ Monitoring fundal height and uterine tone helps assess uterine involution and identify

complications such as uterine atony or retained placenta.




How can a nurse address concerns related to urinary retention or difficulty voiding in the

postpartum period?




✔✔ Encourage frequent voiding, provide privacy, and consider catheterization if needed. Assess

for signs of urinary tract infection and provide education on pelvic floor exercises.


1

,What strategies can be employed to help a postpartum patient manage fatigue and sleep

disturbances?




✔✔ Encourage rest and sleep when the baby sleeps, provide education on sleep strategies, and

suggest sharing nighttime baby care responsibilities with a partner or support person.




What are the signs of a postpartum hemorrhage that should be reported immediately to a

healthcare provider?




✔✔ Signs include heavy vaginal bleeding, significant drop in blood pressure, increasing heart

rate, severe abdominal pain, and signs of shock.




How should a nurse address and manage a postpartum patient’s concerns about body image and

physical recovery?




✔✔ Provide reassurance, support, and education about normal postpartum changes, offer

counseling or referral to a specialist if needed, and encourage discussions about self-care and

body positivity.



2

,What are the appropriate steps to take if a postpartum patient presents with signs of deep vein

thrombosis (DVT)?




✔✔ Perform a thorough assessment, elevate the affected limb, administer anticoagulants as

prescribed, and refer for further diagnostic imaging and treatment.




How can a nurse assist a postpartum patient in managing and preventing constipation?




✔✔ Encourage a diet high in fiber, adequate fluid intake, and regular physical activity, and

provide education on the use of stool softeners or laxatives if prescribed.




What are the primary nursing interventions for managing postpartum hemorrhage immediately

after delivery?




✔✔ Perform uterine massage, administer uterotonics as ordered, monitor blood loss, and ensure

prompt assessment of vital signs.




How does the use of a uterine balloon tamponade assist in controlling postpartum hemorrhage?




3

, ✔✔ A uterine balloon tamponade helps by applying internal pressure to control bleeding from

the uterus and reduce the risk of uterine atony.




What are the signs that a postpartum patient may be developing postpartum infection?




✔✔ Elevated temperature, increased heart rate, foul-smelling lochia, and signs of localized

infection, such as redness or swelling.




How should a nurse manage a postpartum patient experiencing severe pain from an episiotomy?




✔✔ Provide pain relief with prescribed medications, apply ice packs to the perineal area, and

instruct the patient on proper perineal hygiene.




What factors increase the risk of postpartum hemorrhage in a patient who had a cesarean

section?




✔✔ Factors include uterine atony, infection, placenta previa, and abnormal placental

implantation.




4

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