More Questions on this Topic
More Questions on this Topic ( 24 Questions)
A nurse is evaluating the effectiveness of interventions for a client who has postpartum hemorrhage due to retained placental fragments.
Which of the following outcomes indicates that the interventions are successful?
Minimal cramping and discomfort are not specific signs of successful interventions for postpartum hemorrhage.
They may also occur in normal postpartum recovery.
This indicates that the interventions for postpartum hemorrhage due to retained placental fragments are successful because the uterus has contracted and expelled the fragments, and there is no excessive bleeding.
Passing small clots with moderate lochia rubra may indicate that there are still some retained placental fragments or that the uterus is not contracting adequately.
A pulse rate of 100 beats/min and a blood pressure of 110/70 mm Hg are not normal ranges for an adult. A pulse rate of 60 to 100 beats/min and a blood pressure of less than 120/80 mm Hg are considered normal. A high pulse rate and a low blood pressure may indicate hypovolemia or shock due to blood loss.
The client has a firm and midline uterus at the umbilicus. This indicates that the interventions for postpartum hemorrhage due to retained placental fragments are successful because the uterus has contracted and expelled the fragments, and there is no excessive bleeding.
Choice A is wrong because minimal cramping and discomfort are not specific signs of successful interventions for postpartum hemorrhage.
They may also occur in normal postpartum recovery.
Choice C is wrong because passing small clots with moderate lochia rubra may indicate that there are still some retained placental fragments or that the uterus is not contracting adequately.
Choice D is wrong because a pulse rate of 100 beats/min and a blood pressure of 110/70 mm Hg are not normal ranges for an adult. A pulse rate of 60 to 100 beats/min and a blood pressure of less than 120/80 mm Hg are considered normal. A high pulse rate and a low blood pressure may indicate hypovolemia or shock due to blood loss.