HESI Maternity Set #5: Postpartum | Questions and
Answers
Uterine atony is also known as a ________ ** Answ** boggy uterus
Name the 2 main causes of postpartum hemorrhage: ** Answ** 1. uterine atony
2. distended bladder
Why do we want the uterus to be firm and not boggy? ** Answ** This clamps down
the blood vessels and prevents hemorrhage
A major complication of a precipitous birth is: ** Answ** boggy fundus or uterine
atony
What is an intrinsic way to treat a boggy uterus? ** Answ** Put the baby to the
mom's breast to release oxytocin (uterus will contract & clamp down on blood vessels)
Your patient states her water broke last night, but her labor started 2 hours ago. Which
is a concern?
a. baseline fetal heart rate of 140 with a range between 110-160 with contractions
b. blood and mucus on perineal pad
c. maternal vital signs: Temp 99.5, HR=80, BP 130/80
d. peripad stained with green fluid
e. client states "baby wants out he keeps kicking me" ** Answ** A, D, E
These are all signs of fetal distress. The FHR should not fluctuate that much.
Turning the patient to the _____ side improves placental perfusion. ** Answ** left
Rh and ABO incompatibility manifests in the baby as: ** Answ** hyperbilirubinemia
Answers
Uterine atony is also known as a ________ ** Answ** boggy uterus
Name the 2 main causes of postpartum hemorrhage: ** Answ** 1. uterine atony
2. distended bladder
Why do we want the uterus to be firm and not boggy? ** Answ** This clamps down
the blood vessels and prevents hemorrhage
A major complication of a precipitous birth is: ** Answ** boggy fundus or uterine
atony
What is an intrinsic way to treat a boggy uterus? ** Answ** Put the baby to the
mom's breast to release oxytocin (uterus will contract & clamp down on blood vessels)
Your patient states her water broke last night, but her labor started 2 hours ago. Which
is a concern?
a. baseline fetal heart rate of 140 with a range between 110-160 with contractions
b. blood and mucus on perineal pad
c. maternal vital signs: Temp 99.5, HR=80, BP 130/80
d. peripad stained with green fluid
e. client states "baby wants out he keeps kicking me" ** Answ** A, D, E
These are all signs of fetal distress. The FHR should not fluctuate that much.
Turning the patient to the _____ side improves placental perfusion. ** Answ** left
Rh and ABO incompatibility manifests in the baby as: ** Answ** hyperbilirubinemia
