Excessive blood loss after childbirth can have several causes; ...

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Excessive blood loss after childbirth can have several causes; the most common is:
 
  a. Vaginal or vulvar hematomas.
  b. Unrepaired lacerations of the vagina or cervix.
  c. Failure of the uterine muscle to contract firmly.
  d. Retained placental fragments.

Question 2

A nurse taking a daily weight on a child with diabetes insipidus notes the child has lost 2 pounds in 24 hours. Which is the nurse's priority action?
 
  1. Continue to monitor the child.
  2. Notify the physician regarding the weight loss.
  3. Chart the weight and report the loss to the next shift.
  4. Do nothing more than chart the weight, as this would be a normal finding.

[kaykay69]

Answer to Question 1

C

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A Although these are a possible cause of excessive blood loss, uterine muscle fail-ure (uterine atony) is the most common cause.
B Although this is a possible cause of excessive blood loss, uterine muscle failure (uterine atony) is the most common cause.
C Uterine atony can best be thwarted by maintaining good uterine tone and pre-venting bladder distention.
D Although this is a possible cause of excessive blood loss, uterine muscle failure (uterine atony) is the most common cause.

Answer to Question 2

2
Rationale:
1. This is a significant loss in a 24-hour period, so continuing to monitor the child would prolong treatment.
2. With diabetes insipidus, the child might have severe fluid volume deficit. A weight loss of 2 pounds indicates a loss of 1 L of fluid, so the physician should be notified and the fluids replaced either orally or intravenously.
3. This is a significant loss in a 24-hour period, so charting the weight and reporting to the next shift would prolong treatment.
4. This is a significant loss in a 24-hour period, so doing nothing would prolong treatment.

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Thanks for the timely response, appreciate it

[duy1981999]

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