More Questions on this Topic
More Questions on this Topic ( 24 Questions)
A nurse is assessing a client who had a cesarean birth and is experiencing postpartum hemorrhage due to uterine dehiscence.
Which of the following manifestations should alert the nurse to this complication?
Abdominal pain and tenderness are more likely to be caused by other postpartum complications such as endometritis, wound infection, hematoma or uterine rupture.
Foul-smelling lochia and fever are signs of postpartum infection such as endometritis or wound abscess.
Absent or decreased bowel sounds and distension are not specific to postpartum hemorrhage. They can be caused by ileus, bowel obstruction, peritonitis or other abdominal disorders.
Heavy vaginal bleeding and clots are symptoms of postpartum hemorrhage due to uterine dehiscence. Uterine dehiscence is the opening of the incision line after cesarean section and it is a rare complication. It can be caused by infection, hematoma, suture technique or trauma.
Normal ranges for blood loss after delivery are less than 500 mL for vaginal delivery and less than 1000 mL for cesarean delivery. Normal ranges for vital signs after delivery are pulse 50 to 90 beats/minute, blood pressure 85/60 to 140/90 mm Hg, respiratory rate 12 to 20 breaths/minute and temperature 36.2 to 37.6 °C.
Heavy vaginal bleeding and clots are symptoms of postpartum hemorrhage due to uterine dehiscence. Uterine dehiscence is the opening of the incision line after cesarean section and it is a rare complication. It can be caused by infection, hematoma, suture technique or trauma.
Choice A is wrong because abdominal pain and tenderness are more likely to be caused by other postpartum complications such as endometritis, wound infection, hematoma or uterine rupture.
Choice B is wrong because foul-smelling lochia and fever are signs of postpartum infection such as endometritis or wound abscess.
Choice C is wrong because absent or decreased bowel sounds and distension are not specific to postpartum hemorrhage. They can be caused by ileus, bowel obstruction, peritonitis or other abdominal disorders.
Normal ranges for blood loss after delivery are less than 500 mL for vaginal delivery and less than 1000 mL for cesarean delivery. Normal ranges for vital signs after delivery are pulse 50 to 90 beats/minute, blood pressure 85/60 to 140/90 mm Hg, respiratory rate 12 to 20 breaths/minute and temperature 36.2 to 37.6 °C.