Exam 21: Postpartum Complications

MATCHING PPH may be sudden and result in rapid blood loss. The nurse must be alert to the symptoms of hemorrhage and hypovolemic shock and be prepared to act quickly to minimize blood loss. Astute assessment of circulatory status can be done with noninvasive monitoring. Please match the type of noninvasive assessment that the RN would perform with the appropriate clinical manifestation or body system. -Pulse oximetry

One of the first symptoms of puerperal infection to assess for in the after birth woman is:

Despite popular belief,there is a rare type of hemophilia that affects women of childbearing age.von Willebrand disease is the most common of the hereditary bleeding disorders and can affect males and females alike.It results from a factor VIII deficiency and platelet dysfunction.Although factor VIII levels increase naturally during pregnancy,there is an increased risk for after birth hemorrhage from birth until 4 weeks after delivery as levels of von Willebrand factor (vWf)and factor VIII decrease.The treatment that should be considered first for the patient with von Willebrand disease who experiences a after birth hemorrhage is:

What infection is contracted mostly by first-time mothers who are breastfeeding?

The perinatal nurse is caring for a woman in the immediate postbirth period.Assessment reveals that the woman is experiencing profuse bleeding.The most likely etiology for the bleeding is:

What PPH conditions are considered medical emergencies that require immediate treatment?

Which woman is at greatest risk for early postpartum hemorrhage (PPH)?

Which condition is a transient,self-limiting mood disorder that affects new mothers after childbirth?

To provide adequate after birth care,the nurse should be aware that postpartum depression (PPD)without psychotic features:

A woman who has recently given birth complains of pain and tenderness in her leg.On physical examination the nurse notices warmth and redness over an enlarged,hardened area.The nurse should suspect __________ and should confirm the diagnosis by ___________.