Answers 100% Pass
Which sign indicates a postpartum hemorrhage may be due to a retained placental fragment?
A) Lochia serosa with a normal amount
B) Firm, well-contracted uterus with minimal bleeding
C) Sudden increase in bright red bleeding with a soft or boggy uterus
D) Mild discharge with no significant changes in vital signs
✔✔ C) Sudden increase in bright red bleeding with a soft or boggy uterus
*Rationale: A sudden increase in bright red bleeding with a soft or boggy uterus may indicate
retained placental fragments, which can prevent proper uterine contraction and lead to
hemorrhage.*
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What is the recommended action if a postpartum patient shows signs of an infection, such as
fever and foul-smelling lochia?
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, A) Continue monitoring and provide supportive care
B) Administer antibiotics and perform a thorough assessment
C) Increase fluid intake and provide pain relief
D) Restrict physical activity and ensure adequate rest
✔✔ B) Administer antibiotics and perform a thorough assessment
*Rationale: Fever and foul-smelling lochia suggest a possible infection, such as endometritis.
Immediate administration of antibiotics and further assessment are required to address the
infection.*
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When managing a patient with postpartum hemorrhage, what is the most important reason for
monitoring the patient's blood pressure frequently?
A) To determine the need for additional pain medication
B) To assess for signs of hypovolemic shock and guide fluid resuscitation
C) To evaluate the effectiveness of uterine contraction medications
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