Author Question: A nurse assesses a G2 P1 woman who gave birth to a 4500 gram baby boy 2 hours ago. The nurse notes ... (Read 101 times)

jessicacav · **on:** Jun 28, 2018

A nurse assesses a G2 P1 woman who gave birth to a 4500 gram baby boy 2 hours ago. The nurse notes that the woman's labor was only 2 hours and that the infant was delivered by the labor nurse.

The nurse's assessment findings are:
Fundus firm and midline at umbilicus
Lochia heavysaturates pad within 15 minutes and bleeding is a steady stream without clots
Perineum intact, slight bruising
Ice pack on perineum
Vital signs are B/P 105/65, P 98, R 20, T 38
Based on this information, the nurse is concerned that the woman has a __________ of the __________ or __________.

Fill in the blank with the appropriate word.

Question 2

A postpartum woman who describes symptoms of hallucinations and suicidal thoughts is most likely experiencing postpartum __________.

Fill in the blank with the appropriate word.

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

Answer to Question 1

ANS: laceration; cervix; vagina
Based on the assessment data, the woman is experiencing an early postpartum hemorrhage (PPH). The hemorrhage is most likely not due to uterine atony because the fundus is firm and midline. Laceration of the cervix or vagina is the second most common cause of early PPH. This woman is displaying typical signs and symptoms of laceration of cervix or vaginafirm, midline fundus with steady stream of blood without clots.

Answer to Question 2

ANS: psychosis
Postpartum psychosis is a rare but severe form of mental illness that severely affects not only the new mother, but the entire family. Postpartum psychosis may present with symptoms of postpartum depression. However, the distinguishing signs of psychosis are hallucinations, delusions, agitation, confusion, disorientation, sleep disturbances, suicidal and homicidal thoughts, and a loss of touch with reality.