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RN Reproduction: Postpartum Hemorrhage 3.0 Case Study Test
Question 1 of 5
A nurse is caring for a client who is 8 hr postpartum and begins to hemorrhage. Which of the
following actions should the nurse take first?
A. Massage the client's fundus.
B. Evaluate the client's temperature.
C. Insert a urinary catheter.
D. Draw a CBC.
Answer: A. Massage the client's fundus.
Question: 2 of 5
A nurse is caring for a client who is 8 hr postpartum. The nurse palpates the client's fundus at
two fingerbreadths above the umbilicus and deviated to the right. Which of following actions
should the nurse take first?
A. Assist the client to void.
B. Administer analgesics.
C. Pour water from a squeeze bottle over the client's perineum.
D. Teach the client relaxation exercises.
Answer: A. Assist the client to void.
Question: 3 of 5
A nurse is assessing a client who is postpartum and has saturated four perineal pads in 1 hr.
Which of the following is a manifestation of hemorrhagic shock?
A. Polyuria
B. Bradycardia
C. Rapid shallow respirations
D. Capillary refill less than 2 seconds.
Answer: C. Rapid shallow respirations
Question: 4 of 5
A nurse is caring for a client who is experiencing postpartum hemorrhage and has a
prescription for methylergonovine. Which of the following conditions is a contraindication
for this medication?
A. Gestational diabetes mellitus
B. Preeclampsia
C. Asthma
D. Cholecystitis
Answer: B. Preeclampsia
Question: 5 of 5
A nurse is caring for a client who is 2 hr postpartum. Which of the following should the nurse
identify as a risk factor for postpartum hemorrhage?
A. Oligohydramnios
B. Intrauterine growth restriction
C. Primigravida
D. Prolonged labor
Answer: D. Prolonged labor
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