The charge nurse is assessing several postpartum patients. Which ...

[RRMR]

The charge nurse is assessing several postpartum patients. Which patient has the greatest risk for postpartum hemorrhage?
 
  1. The patient who was overdue and delivered vaginally
  2. The patient who delivered by scheduled cesarean delivery
  3. The patient who had oxytocin augmentation of labor
  4. The patient who delivered vaginally at 36 weeks

Question 2

The nurse anticipates that the physician will most likely order a cervicovaginal fetal fibronectin test for which client?
 
  1. The client at 34 weeks' gestation with gestational diabetes
  2. The client at 32 weeks' gestation with regular uterine contractions
  3. The client at 37 weeks' multi-fetal gestation
  4. The client at 20 weeks' gestation with ruptured amniotic membranes

[bubulittle310@msn.cn]

Answer to Question 1

3
Rationale 1: This patient has a lower risk for postpartum hemorrhage than would another patient.
Rationale 2: This patient has a lower risk for postpartum hemorrhage than would another patient.
Rationale 3: Uterine atony is a cause of postpartal hemorrhage. A contributing factor to uterine atony is oxytocin augmentation of labor.
Rationale 4: This patient has a lower risk for postpartum hemorrhage than would another patient.

Answer to Question 2

2
Explanation: 2. The absence of cervicovaginal fFN between 20 and 34 weeks' gestation has been shown to be a strong predictor of a woman not experiencing preterm birth due to spontaneous preterm labor or premature rupture of membranes. Positive findings indicate a 99 probability of birth within the next 2 weeks.