Author Question: The perinatal nurse explains risk factors for hematoma formation to a group of nursing students. ... (Read 28 times)

londonang · **on:** Jun 28, 2018

The perinatal nurse explains risk factors for hematoma formation to a group of nursing students. What risk factors does the nurse include in the teaching? (Select all that apply.)

A.
Cesarean birth
B.
Episiotomy
C.
Genital tract laceration
D.
Multiparity
E.
Prolonged second stage of labor

Question 2

The nursing faculty member who is explaining uterine atony to nursing students informs them of risk factors contributing to this condition. Which factors would place a woman at higher risk of uterine atony? (Select all that apply.)

A.
Forceps-assisted birth
B.
Trial of labor after a prior cesarean birth
C.
Multi-fetal gestation
D.
Oxytocin labor induction
E.
Use of magnesium sulfate

cupcake16 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B, C, E
Risk factors for hematoma development include genital tract lacerations, episiotomies, operative vaginal deliveries, a difficult or prolonged second stage of labor, and nulliparity.

Answer to Question 2

ANS: A, C, D, E
Multiple factors increase the risk of uterine atony, including trauma during birth from forceps or vacuum devices; uterine overdistention from multi-fetal gestation, hydramnios, or macrosomia; and the use of both oxytocin and magnesium sulfate. (Other risk factors can be found in Box 16-1.) A trial of labor after a prior cesarean birth is not a risk factor for uterine atony.