Surgical Management
Surgical Management ( 5 Questions)
A nurse is caring for a client who is experiencing postpartum hemorrhage due to bleeding vessels in her uterus that are not responding to other treatments and has already undergone uterine artery embolization but still has excessive bleeding.
Which of the following surgical management should the nurse expect to be performed on the client?
Manual removal of placenta or retained fragments under anesthesia is not a surgical management but a medical one.
It is used to remove any retained products of conception that may prevent the uterus from contracting and cause bleeding.
Repair of lacerations or hematomas under anesthesia is not a surgical management for bleeding vessels in the uterus, but for trauma to the genital tract or vulva.
Lacerations or hematomas may occur due to delivery or instrumentation and can cause significant blood loss.
Uterine tamponade with balloon catheter or gauze packing to compress bleeding vessels is not a surgical management but a minimally invasive one.
It is used to apply pressure inside the uterine cavity and stop the bleeding from the placental site or other sources.
B-Lynch suture to compress the uterus with stitches. This is a surgical technique that may be used to arrest postpartum hemorrhage resulting from uterine atony.
It involves placing sutures around the uterus in a compression pattern to reduce the blood flow and contract the uterus.
B-Lynch suture to compress the uterus with stitches. This is a surgical technique that may be used to arrest postpartum hemorrhage resulting from uterine atony.
It involves placing sutures around the uterus in a compression pattern to reduce the blood flow and contract the uterus.
Choice A is wrong because manual removal of placenta or retained fragments under anesthesia is not a surgical management but a medical one.
It is used to remove any retained products of conception that may prevent the uterus from contracting and cause bleeding.
Choice B is wrong because repair of lacerations or hematomas under anesthesia is not a surgical management for bleeding vessels in the uterus, but for trauma to the genital tract or vulva.
Lacerations or hematomas may occur due to delivery or instrumentation and can cause significant blood loss.
Choice C is wrong because uterine tamponade with balloon catheter or gauze packing to compress bleeding vessels is not a surgical management but a minimally invasive one.
It is used to apply pressure inside the uterine cavity and stop the bleeding from the placental site or other sources.