Author Question: Which of the following would be essential to implement to prevent late postpartum hemorrhage? A) ... (Read 101 times)

amal · **on:** Jun 27, 2018

Which of the following would be essential to implement to prevent late postpartum hemorrhage?

A) Administering broad-spectrum antibiotics
B) Inspecting the placenta after delivery for intactness
C) Manually removing the placenta at delivery
D) Applying pressure to the umbilical cord to remove the placenta

Question 2

The nurse is providing oxygen to two children, one to increase gas exchange and the other because of an obstructed airway. For which disorder would supplemental oxygen be used for something other than these two reasons?

A) Severe pneumonia
B) Bronchiolitis
C) Pneumothorax
D) Chronic lung disorder

Beatricemm · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
Response:
After the placenta is expelled, a thorough inspection is necessary to confirm its intactness because tears or fragments left inside may indicate an accessory lobe or placenta accreta. These can lead to profuse hemorrhage because the uterus is unable to contract fully. Administering antibiotics would be appropriate for preventing infection, not postpartum hemorrhage. Manual removal of the placenta or excessive traction on the umbilical cord can lead to uterine inversion, which in turn would result in hemorrhage.

Answer to Question 2

C
Response:
In some cases of pneumothorax, administration of 100 oxygen hastens the reabsorption of air, but it is generally used for only a few hours. Children with severe pneumonia require supplemental oxygen to overcome an obstruction, while children with bronchiolitis and chronic lung disorders need oxygen to improve gas exchange.