Surgical Management
Surgical Management ( 5 Questions)
A nurse is caring for a client who is experiencing postpartum hemorrhage.
Which of the following surgical management should the nurse expect to be performed on the client as a last resort?
Manual removal of placenta or retained fragments under anesthesia is wrong because this is not a surgical procedure but a manual one. It is done to remove any retained products of conception that may cause bleeding or infection.
Repair of lacerations or hematomas under anesthesia is wrong because this is not a surgical procedure but a repair one. It is done to stop bleeding from any tears or bruises in the genital tract that may occur during delivery.
Uterine tamponade with balloon catheter or gauze packing to compress bleeding vessels is wrong because this is not a surgical procedure but a minimally invasive one. It is done to apply pressure inside the uterine cavity to stop bleeding from the placental site or uterine atony.
B-Lynch suture to compress the uterus with stitches is wrong because this is not a last resort but a conservative surgical procedure.
Hysterectomy to remove the uterus. This is because hysterectomy is the last resort for surgical management of postpartum hemorrhage when all other methods have failed or are contraindicated. Hysterectomy is the definitive treatment for uncontrollable bleeding from the uterus.
Hysterectomy to remove the uterus. This is because hysterectomy is the last resort for surgical management of postpartum hemorrhage when all other methods have failed or are contraindicated. Hysterectomy is the definitive treatment for uncontrollable bleeding from the uterus.
Choice A. Manual removal of placenta or retained fragments under anesthesia is wrong because this is not a surgical procedure but a manual one. It is done to remove any retained products of conception that may cause bleeding or infection.
Choice B. Repair of lacerations or hematomas under anesthesia is wrong because this is not a surgical procedure but a repair one. It is done to stop bleeding from any tears or bruises in the genital tract that may occur during delivery.
Choice C. Uterine tamponade with balloon catheter or gauze packing to compress bleeding vessels is wrong because this is not a surgical procedure but a minimally invasive one. It is done to apply pressure inside the uterine cavity to stop bleeding from the placental site or uterine atony.
Choice D. B-Lynch suture to compress the uterus with stitches is wrong because this is not a last resort but a conservative surgical procedure.