NSG 3500 EXAM 3
Nursing Practice - Maternal
Health - Galen
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
Galen College Of Nursing Exam 3
100% Guarantee Pass.
Each Question Includes The Correct Answer
Expert-Verified explanation
,---
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.
---
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.
---
, 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.
Explanation: Tachycardia is often the first vital sign to change with blood
loss. A significant drop in blood pressure and decreased oxygen saturation
reflect hypovolemia and possible shock. Early recognition is essential to
prompt management.
---
5. What is the most common cause of PPH?:
Answer: Uterine atony
Explanation: Uterine atony, failure of the uterus to contract and retract
after delivery, is the leading cause of PPH. Without adequate contraction,
blood vessels at the placental site remain open, causing hemorrhage.
---
6. What is included in the early maternal assessment?:
- V/S
- fundal assessment (always support lower uterus)
- lochia assessment
- perineum assessment
Nursing Practice - Maternal
Health - Galen
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
Galen College Of Nursing Exam 3
100% Guarantee Pass.
Each Question Includes The Correct Answer
Expert-Verified explanation
,---
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.
---
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.
---
, 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.
Explanation: Tachycardia is often the first vital sign to change with blood
loss. A significant drop in blood pressure and decreased oxygen saturation
reflect hypovolemia and possible shock. Early recognition is essential to
prompt management.
---
5. What is the most common cause of PPH?:
Answer: Uterine atony
Explanation: Uterine atony, failure of the uterus to contract and retract
after delivery, is the leading cause of PPH. Without adequate contraction,
blood vessels at the placental site remain open, causing hemorrhage.
---
6. What is included in the early maternal assessment?:
- V/S
- fundal assessment (always support lower uterus)
- lochia assessment
- perineum assessment
