A steady trickle of bright red blood from the vagina in the ...

[imowrer]

A steady trickle of bright red blood from the vagina in the presence of a firm fundus suggests
 
  a. Uterine atony
  b. Lacerations of the genital tract
  c. Perineal hematoma
  d. Infection of the uterus

Question 2

The nurse caring for the child in pain knows that distraction
 
  a. Can give total pain relief to the child
  b. Is effective when the child is in severe pain
  c. Is the best method for pain relief
  d. Must be developmentally appropriate to refocus attention

[quynhmickitran]

Answer to Question 1

B
Feedback
A The fundus is not firm with uterine atony.
B Undetected lacerations will bleed slowly and continuously. Bleeding from
lacerations is uncontrolled by uterine contraction.
C A hematoma would be internal. Swelling and discoloration would be noticed, but
bright bleeding would not be.
D With an infection of the uterus there would be an odor to the lochia and systemic
symptoms such as fever and malaise.

Answer to Question 2

D
Feedback
A Distraction can help control pain, but it is rarely able to provide total pain relief.
B Children in severe pain are not distractible.
C Children may use distraction to help control pain, but it is not the best method
for pain relief.
D Distraction can be very effective in helping to control pain, but it must be
appropriate to the child's developmental level.