Which of the following nursing interventions if prescribed would have the most direct effect on reducing postpartum hemorrhage?

A client who had a vaginal delivery had an episiotomy prior to birth. The maternal newborn nurse would evaluate the client's perineum following delivery using which method?

1. REDA - redness, edema, discharge, approximation
2. REEDA - redness, edema, ecchymosis, discharge, approximation
3. REAA - redness, edema, approximation, assessment
4. RED - redness, edema, discoloration

1, 3, 4. The postpartal woman is prone to develop superficial thrombophlebitis from increased clotting factors, increased number and adhesiveness of platelets during the postpartal period. Numerous factors place clients at risk. Among the most common are cesarean deliveries, lack of mobility, obesity, cigarette smoking, previous history, trauma such as leg stirrups during birth, varicosities, diabetic mothers, multiparas, and anemia.

Sets with similar terms

What is a priority nursing intervention for postpartum hemorrhage?

22. Answer: B. Blood pressure. Methergine and pitocin are agents that are used to prevent or control postpartum hemorrhage by contracting the uterus. They cause continuous uterine contractions and may elevate blood pressure. A priority nursing intervention is to check blood pressure. The physician should be notified if hypertension is present. 23.

What does a postpartum nurse do?

A postpartum nurse is preparing to care for a woman who has just delivered a healthy newborn infant. In the immediate postpartum period the nurse plans to take the woman's vital signs:

When performing a postpartum check the nurse should?

The first action would be to massage the fundus until firm, followed by options C and D, especially if the fundus does not become or remain firm with massage. 48. When performing a postpartum check, the nurse should: 48. Answer: A. Assist the woman into a lateral position with upper leg flexed forward to facilitate the examination of her perineum.

What should the nurse do to help the woman process the delivery?

after a precipitous delivery, the nurse notes that the new mother is passive and touches her newborn infant only briefly with her fingertips. what should the nurse do to help the woman process the delivery? 1) encourage the mother to breast-feed soon after birth. 2) support the mother in her reaction to the newborn infant.

Which of the following complications is most likely responsible for a delayed postpartum hemorrhage?

The most common causes of PPH are: Uterine atony: Uterine atony (or uterine tone) refers to a soft and weak uterus after delivery. This is when your uterine muscles don't contract enough to clamp the placental blood vessels shut. This leads to a steady loss of blood after delivery.

Which factor puts a client on her first postpartum day at risk for hemorrhage?

Which factor puts a client on her first postpartum day at risk for hemorrhage? Explanation: Loss of uterine tone places a client at higher risk for hemorrhage. Thrombophlebitis doesn't increase the risk of hemorrhage during the postpartum period.

Which measurement best describes postpartum hemorrhage?

Traditionally, postpartum hemorrhage (PPH) has been defined as greater than 500 mL estimated blood loss associated with vaginal delivery or greater than 1000 mL estimated blood loss associated with cesarean delivery.

Which finding would lead the nurse to suspect that a woman is developing a postpartum complication?

Which finding would lead the nurse to suspect that a woman is developing a postpartum complication? Women should have a lochia flow following birth. Absence of a flow is abnormal; it suggests dehydration from infection and fever.