The delivery nurse immediately takes action when a client ...

[newyorker26]

The delivery nurse immediately takes action when a client experiences postpartum hemorrhage. Which of the following symptoms would the nurse report immediately?
 
  A) A boggy uterus that does not respond to massage
  B) A thin trickle of blood
  C) A uterus that is low in the abdomen
  D) Signs of septic shock

Question 2

The nurse explains to the student nurse what is meant by a client's diagnosis of placenta accreta. Which of the following is a characteristic of this emergency situation?
 
  A) The placenta separates.
  B) The placenta fails to be expelled.
  C) The placenta is expelled too soon.
  D) The placenta leaves remnants in the fallopian tubes.

[bd5255]

Answer to Question 1

A
Feedback:
Postpartum hemorrhage may occur quickly. The nurse should take action and report any of the following to the birth attendant: copious vaginal bleeding, boggy uterus (massage first and then report), uterus high in the abdomen, and signs of maternal (not necessarily septic) shock.

Answer to Question 2

B
Feedback:
A placenta that fails to separate, fails to be expelled within 20 to 30 minutes after delivery, or leaves remnants in the uterus is a danger to the woman. This condition is called placenta accreta or retained placenta. The tissue must be removed soon after delivery so that infection or hemorrhage does not develop.