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 if she has uterine atony?
Manual removal of placenta or retained fragments under anesthesia is not a surgical management for uterine atony, but for retained placenta, which is a different cause of postpartum hemorrhage.
Repair of lacerations or hematomas under anesthesia is not a surgical management for uterine atony, but for genital tract trauma, which is another cause of postpartum hemorrhage.
Uterine tamponade with balloon catheter or gauze packing to compress bleeding vessels is a surgical management that can be used for postpartum hemorrhage due to uterine atony.
Uterine atony is the failure of the uterus to contract and retract after delivery, which can lead to excessive bleeding from the placental site.
Uterine artery embolization to block blood flow to the uterus is not a surgical management for uterine atony, but for refractory cases of postpartum hemorrhage that do not respond to other interventions. It is also a minimally invasive procedure that does not require laparotomy.
Uterine tamponade with balloon catheter or gauze packing to compress bleeding vessels is a surgical management that can be used for postpartum hemorrhage due to uterine atony.
Uterine atony is the failure of the uterus to contract and retract after delivery, which can lead to excessive bleeding from the placental site.
Choice A is wrong because manual removal of placenta or retained fragments under anesthesia is not a surgical management for uterine atony, but for retained placenta, which is a different cause of postpartum hemorrhage.
Choice B is wrong because repair of lacerations or hematomas under anesthesia is not a surgical management for uterine atony, but for genital tract trauma, which is another cause of postpartum hemorrhage.
Choice D is wrong because uterine artery embolization to block blood flow to the uterus is not a surgical management for uterine atony, but for refractory cases of postpartum hemorrhage that do not respond to other interventions. It is also a minimally invasive procedure that does not require laparotomy.
Normal ranges for blood loss after vaginal delivery are less than 500 mL and after cesarean delivery are less than 1000 mL. Postpartum hemorrhage is defined as blood loss greater than these amounts within 24 hours of delivery.