A postpartum client has saturated two perineal pads with bright ...

[clmills979]

A postpartum client has saturated two perineal pads with bright red blood during a 1-hour period. Her vital signs are stable, and uterus is well contracted. The bleeding is most likely due to
 
  a. subinvolution related to retained placental products
  b. endometritis
  c. uterine atony
  d. cervical laceration

Question 2

Nursing intervention for the postpartum woman using the crisis model includes which of the following?
 
  a. Identify resources that assist the woman to develop coping strategies.
  b. Assess the maturational level of the family.
  c. Assist the family as it interacts with the medical care system.
  d. Assess the internal relationships of the family members.

[juiceman1987]

Answer to Question 1

D
Cervical or perineal lacerations are a common cause of postpartum hemorrhage, a condition characterized by a heavy flow of bright red blood. With retained placental fragments, the uterus will not be well contracted. Endometritis is manifested as severe uterine pain.

Answer to Question 2

A
People in crisis are those whose balance has been disrupted, requiring the development of new coping strategies. The best action a nurse can take is to identify resources that facilitate the development of these strategies. Assessing the maturational level of the family is related to the developmental theory, not the crisis theory. Not all interactions with the medical care system involve crises. Assessing the internal relationships of the family members is appropriate when working with all families, not just those in crisis.

[clmills979]

TYSM

[cpetit11]

Excellent