Nursing Practice - Maternal
Health - Galen
Actual Questions and Answers
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,This Exam contains:
Galen College Of Nursing Exam 3
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Expert-Verified explanation
, NSG 3500 EXAM 3
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1. A continuous trickle of bright red blood w/o clots and firm uterus indicates what type of trauma in
PPH?:
Answer: Unrepaired lacerations
Explanation: Firm uterus usually rules out atony. Persistent bleeding despite a contracted uterus suggests
cervical, vaginal, or perineal lacerations that may be bleeding and require surgical repair.
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2. A patient complains of unrelieved pain or pressure in the perineal or vaginal area. You may or
may not be able to see the injury. It can be caused by forceps delivery. What is the condition?:
Answer: Hematoma
Explanation: Hematomas occur due to bleeding into soft tissues, presenting as severe pain or pressure
often disproportionate to findings on examination. They may expand rapidly and require surgical
intervention if large.
3. When does early PPH occur?:
Answer: Usually within the first 4 hours
Explanation: Early postpartum hemorrhage (PPH) occurs within 24 hours after delivery, with the majority
occurring within the first 4 hours due to uterine atony, trauma, or retained tissue.
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4. What are the S/S of early PPH?:
- tachycardia (>110 bpm)
- 15% drop in BP
- decreased O2 sats <95%
Answer: All are signs of early PPH.