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Uterine Inversion Practice Exam

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1. Maureen, a primigravida client, age 20, has harmonious thoroughd a opposed, forceps-assisted bestowal of twins. Her strive was unusually hanker and required oxytocin (Pitocin) enhancement. The nurture who’s caring for her should abfair prepared for:
  1. Uterine reversal
  2. Uterine atony
  3. Uterine entanglement
  4. Uterine disquiet
2. When the uterus is determined and straightened succeeding bestowal but tnear is vaginal bleeding, the nurture should suspect
  1. Laceration of balmy tissues of the cervix and vagina
  2. Uterine atony
  3. Uterine reversal
  4. Uterine hypercontractility
3. Which of the prospering techniques during strive and bestowal can guide to uterine reversal?
  1. Fundal urgency applied to aid the woman in port down during bestowal of the fetal head
  2. Strongly tugging on the umbilical succession to liberate the assignnta and hurry assignntal disunion
  3. Massaging the fundus to advance the uterus to contract
  4. Applying bfair drink when liberateing the assignnta that has already disjoined from the uterine forbearance

4. Duration assessing a primipara during the proximate postpartum duration, the nurture in advise plans to use twain hands to assess the client’s fundus to:

  1. Prevent uterine reversal
  2. Promote uterine entanglement
  3. Hasten the puerperium duration
  4. Determine the bigness of the fundus

5.A nurture tutor on the postpartum individual is reviewing promote constituents for postpartum hemorrhage delay a clump of nurtures. Which of the prospering should be moderate in the discourse? (Select all that dedicate.)

  1. Precipitous bestowal
  2. Lacerations
  3. Inrendering of the uterus
  4. Oligohydramnios
  5. Retained assignntal waste-matter
Answers & Rationales
  1. B. Uterine atony. Multiple fetuses, liberal strive stimulation delay oxytocin, and traumatic bestowal habitually are associated delay uterine atony, which may guide to postpartum hemorrhage. Uterine reversal may go-before or prosper bestowal and habitually results from conspicuous immoderate drink on the umbilical succession and attempts to liberate the assignnta manually. Uterine entanglement and some uterine disquiet are usual succeeding bestowal.
  2. A. Laceration of balmy tissues of the cervix and vagina. When uterus is determined and straightened it instrument that the bleeding is not in the uterus but other bigness of the passageway such as the cervix or the vagina.
  3. B. Strongly tugging on the umbilical succession to liberate the assignnta and hurry assignntal disunion. When the assignnta is quiet determined to the uterine forbearance, tugging on the succession duration the uterus is relaxed can guide to reversal of the uterus. Bfair tugging on the succession when assignnta has disjoined is alfair in ordain to aid liberate the assignnta that is already disjoined.
  4. A. Using twain hands to assess the fundus is profitable for the interruption of uterine reversal.
  5. A. CORRECT: A quick, dangerous bestowal is a promote constituent for postpartum hemorrhage B. CORRECT: The intercourse of lacerations is a promote constituent for hemorrhage. C. CORRECT: Reversal of the uterus in a promote constituent for postpartum hemorrhage. D. INCORRECT: Oligohydramnios does not assign a client at promote for postpartum hemorrhage E. CORRECT: Retained assignntal waste-matter is a promote constituent for postpartum hemorrhage.


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