Author Question: A postpartum patient complains of perineal pain. Her uterus is firm, and she has minimal vaginal ... (Read 39 times)

c0205847 · **on:** Jun 28, 2018

A postpartum patient complains of perineal pain. Her uterus is firm, and she has minimal vaginal bleeding. She states that she feels like she needs to urinate and have a bowel movement but has been unable to do either.

The nurse suspects that the patient most likely has:
a. A hematoma
b. Subinvolution
c. A postpartum infection
d. Disseminated intravascular coagulation

Question 2

The most serious complication of thromboembolism is:

a. Gangrene
b. Hemorrhage
c. Varicose veins
d. Pulmonary embolism

yotaSR5 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A
These are classic signs and symptoms of hematoma. A hematoma is a collection of blood within the tissues that may result from injury to blood vessels in the perineum or vagina. Perineal pain, rather than noticeable bleeding, is a distinguishing characteristic of a hematoma, and the uterus remains firm. Pressure on the urethra may cause difficulty voiding, and pressure on the rectum may feel like the need to have a bowel movement.

Answer to Question 2

ANS: D
An embolus is a clot that is moving through the circulatory system with the blood flow. An embolus may be delivered to the lungs, where it obstructs circulation and can cause sudden death.