PEDS Fatime Sanogo vSim Test Answered
Which of the following factors places a patient at risk for post partum hemorrhage?(Select all
that apply)
(Ans)- Macrosomia
Rapid Labor
Maternal fever
Oxytocin use during labor
Which of the following is consistent with the definition of a major obstetric hemorrhage? (Ans)-
Blood loss requiring transfusion of more than 5 units of blood.
Which of the following contraindications to the administration of misoprostol (Cytotec) for
treatment of a postpartum hemorrhage? (Select all that apply)
(Ans)- Hepatitis C
Asthma
Pulmonary or hepatic disease is a contraindication for the use of prostaglandin medications.
Following the administration of misoprostol (Cytotec) for management of postpartum
hemorrhage, which of the following is the priority nursing assessment?
(Ans)- Uterine tone
A patient is hemorrhaging after giving birth. When inspected, an area of the placenta was frayed.
The provider suspects that placental fragments are retained within the uterus. What is the
expected treatment for this condition?
(Ans)- Evacuation of the uterus followed by oxytocin (Pitocin) administration
During the first 30 to 45 minutes of a postpartum hemorrhage, which of the following is the best
parameter to estimate the amount of blood loss?
(Ans)- Visual quantification of the amount of bleeding.
When performing the postpartum examination, the nurse find the patient's fundus above the
umbilicus and deviated to the right. What does the nurse know might be the cause of this
finding?
(Ans)- A full bladder
Why should the patient's level of consciousness be assessed during management of postpartum
hemorrhage?
Which of the following factors places a patient at risk for post partum hemorrhage?(Select all
that apply)
(Ans)- Macrosomia
Rapid Labor
Maternal fever
Oxytocin use during labor
Which of the following is consistent with the definition of a major obstetric hemorrhage? (Ans)-
Blood loss requiring transfusion of more than 5 units of blood.
Which of the following contraindications to the administration of misoprostol (Cytotec) for
treatment of a postpartum hemorrhage? (Select all that apply)
(Ans)- Hepatitis C
Asthma
Pulmonary or hepatic disease is a contraindication for the use of prostaglandin medications.
Following the administration of misoprostol (Cytotec) for management of postpartum
hemorrhage, which of the following is the priority nursing assessment?
(Ans)- Uterine tone
A patient is hemorrhaging after giving birth. When inspected, an area of the placenta was frayed.
The provider suspects that placental fragments are retained within the uterus. What is the
expected treatment for this condition?
(Ans)- Evacuation of the uterus followed by oxytocin (Pitocin) administration
During the first 30 to 45 minutes of a postpartum hemorrhage, which of the following is the best
parameter to estimate the amount of blood loss?
(Ans)- Visual quantification of the amount of bleeding.
When performing the postpartum examination, the nurse find the patient's fundus above the
umbilicus and deviated to the right. What does the nurse know might be the cause of this
finding?
(Ans)- A full bladder
Why should the patient's level of consciousness be assessed during management of postpartum
hemorrhage?
