The nurse suspects that the postpartum patient has a hematoma. ...

[soccerdreamer_17]

The nurse suspects that the postpartum patient has a hematoma. Which assessment finding(s) would be relevant to this conclusion? (Select all that apply.)
 
  a. Complains of vaginal pain
  b. Difficulty urinating
  c. Firm fundus
  d. Moderate lochia
  e. Rectal pressure

Question 2

The nurse is caring for a patient with placenta accrete. What is the priority assessment?
 
  a. Hemorrhage
  b. Infection
  c. Pain
  d. Dehydration

[amy.lauersdorf90]

Answer to Question 1

ANS: A, B, E
Hematoma, a collection of blood within the tissues, may result from injury to blood vessels in the perineum or in the vagina. Perineal or vaginal pain, rather than apparent bleeding, is a distinguishing characteristic of a hematoma. The woman may not be able to void due to pressure on the urethra, or she may feel the urge to have a bowel movement due to pressure on the rectum. A firm fundus and moderate lochia are normal assessment findings in the postpartum patient.

Answer to Question 2

ANS: A
Placenta accrete is the term for a retained placenta that has adhered to the uterine wall. Profuse bleeding can occur.

[soccerdreamer_17]

Thank you

[amy.lauersdorf90]

Happy to help you