Question: A 38-year-old gravida VII, para VI woman has just delivered an 8 pound, 5 ounce newborn. What complication should the nurse monitor for during the fourth stage of labor?
1. Uterine shock
2. Uterine atony
3. Uterine involution
4. Cardiogenic shock
Answer: 2
Rationale: Uterine atony is the most common cause of postpartal hemorrhage. To control bleeding, the muscle fiber must contract and stay tightly contracted or profuse bleeding will occur. This emergency occurs most commonly in multiparas, because previous deliveries weaken muscle fibers. Uterine shock (1) is an incorrect term. Uterine involution (3) is the normal process of return of the uterus to a nonpregnant state after birth. Cardiogenic shock (4) is not a common complication unless there is another underlying cardiac issue.
Cognitive Level: Assessment
Nursing Process: Diagnosis
NCLEX Test Plan Category: Health Promotion and Maintenance
This week’s NCLEX exam practice question came from:
Manno: Mosby' s Review Cards for the NCLEX-RN® Examination, 3rd Edition, Section 5, pg 313, Question 62
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