NRSG 3302- Women & Families Exam 1: Module 3-
Postpartum Complications With Complete Solutions
4 Ts (factors) associated w/ PP hemorrhage Correct Answers
tone
tissue
trauma
thrombin
4 Ts: THROMBIN Correct Answers thrombosis (clotting
abnormalities)
disorders of the clotting mechanism
can be preexisting or acquired
suspect this is the issue when bleeding continues w/out an
identifiable cause
4 Ts: TISSUE Correct Answers retained placental
tissue/fragments
inhibits uterine contractions + results in atony
placenta more likely to be retained in earlier gestation
risk factors:
- failure of complete separation of placenta for women w/
unusual placental adherence
- women w/ placenta previa
- retained blood in uterus can cause uterine distention+ prevent
contractions
- uterine inversion
- subinvolution
4 Ts: TONE Correct Answers impaired uterine contractions
after birth
, causes uterine atony
risk factors:
- over-distention of uterus
- poor myometrial contraction due to fatigue from labor
- anesthesia inhibit contractions
- placental implantations at lower uterine segment
4 Ts: TRAUMA Correct Answers damage to the genital tract
spontaneously or through manipulations to deliver the baby
includes: cervical lacerations, vaginal lacerations, hematomas of
vulva/vagina/peritoneal areas, uterine ruptures
A healthy woman experiences a __-__% _________ in blood
volume in normal pregnancy. Correct Answers 30-50%
increase
A nurse is assessing a client 2 hrs PP. Her blood pressure is
98/60, pulse is 1010, and she has saturated 2 pads in the last
hour. What should be the immediate nursing action?
1. palpate for a boggy fundus and massage fundus until firm
2. increase the rate of the IV infusion
3. notify the physician or nurse-midwife
4. obtain an order to catheterize the patient Correct Answers 1.
palpate for a boggy fundus and massage fundus until firm
boggy fundus= increase risk for bleeding, the primary concern
IV infusion increase may be necessary, but not primary concern
only notify physician is fundal massage is not effective
catheter would help is bladder is over distended, but not primary
concern
Postpartum Complications With Complete Solutions
4 Ts (factors) associated w/ PP hemorrhage Correct Answers
tone
tissue
trauma
thrombin
4 Ts: THROMBIN Correct Answers thrombosis (clotting
abnormalities)
disorders of the clotting mechanism
can be preexisting or acquired
suspect this is the issue when bleeding continues w/out an
identifiable cause
4 Ts: TISSUE Correct Answers retained placental
tissue/fragments
inhibits uterine contractions + results in atony
placenta more likely to be retained in earlier gestation
risk factors:
- failure of complete separation of placenta for women w/
unusual placental adherence
- women w/ placenta previa
- retained blood in uterus can cause uterine distention+ prevent
contractions
- uterine inversion
- subinvolution
4 Ts: TONE Correct Answers impaired uterine contractions
after birth
, causes uterine atony
risk factors:
- over-distention of uterus
- poor myometrial contraction due to fatigue from labor
- anesthesia inhibit contractions
- placental implantations at lower uterine segment
4 Ts: TRAUMA Correct Answers damage to the genital tract
spontaneously or through manipulations to deliver the baby
includes: cervical lacerations, vaginal lacerations, hematomas of
vulva/vagina/peritoneal areas, uterine ruptures
A healthy woman experiences a __-__% _________ in blood
volume in normal pregnancy. Correct Answers 30-50%
increase
A nurse is assessing a client 2 hrs PP. Her blood pressure is
98/60, pulse is 1010, and she has saturated 2 pads in the last
hour. What should be the immediate nursing action?
1. palpate for a boggy fundus and massage fundus until firm
2. increase the rate of the IV infusion
3. notify the physician or nurse-midwife
4. obtain an order to catheterize the patient Correct Answers 1.
palpate for a boggy fundus and massage fundus until firm
boggy fundus= increase risk for bleeding, the primary concern
IV infusion increase may be necessary, but not primary concern
only notify physician is fundal massage is not effective
catheter would help is bladder is over distended, but not primary
concern
