the nurse has just assisted with vaginal delivery. the nurse notices a gush of blood from...

the nurse has just assisted with vaginal delivery. the nurse notices a gush of blood from the vagina and the umbilical cord seems to be getting longer. what would the nurse document in the patient s chart?
a. delivery of twins
b. postpartum hemorrhage
c. hemorrhaging laceration
d. placenta seperation

Expert Solution

The correct answer is option d. Placenta seperation.

The third stage of labor is the period following delivery of the baby till the complete delivery of the placenta. The most reliable and important sign of placental seperation after delivery is the lengthening of the umbilical cord. This is because the placenta gets seperated and placed in the lower part of the uterus. The uterus seems to be rises above the abdomen and the shape of the uterus seems to be rounded. And a sudden gush of blood comes from the vagina. These are the classical signs of seperation of placenta after delivery.

Option a . Delivery of twins is not the right answer because the above signs are typical in placental seperation.

Option b. Post partum hemorrhage is not the right answer. PPH means the bleeding after delivery that exceeds over 500ml within the 24 hours. The main signs and symptoms includes severe vaginal bleeding, enlarged uterus, during palpation the uterus feels boggy that is soft and distended and lacking tonicity.

Option c. Hemorrhaging laceration is not the right answer. The signs and symptoms of hemorrhaging lacerations after delivery includes bright red bleeding and uterus is firm and hypovolemia. The bleeding is a steady trickle of blood.

Nightingale answered 2 years ago

Sandra is a nurse in the physician's office and she has just assisted the physician with...

Sandra is a nurse in the physician's office and she has just assisted the physician with a suturing procedure. As she is cleaning up afterwards, she is cut by the suture needle and it penetrates her glove. 1. What procedures should be followed? 2. Is the employer responsible even though Sandra made the mistake? 3. How does this incident affect the patient whose blood is on the suture needle? 4. Can the patient be forced to have HIV testing?

The nurse notices a postpartum patient's lochia is very heavy. Describe how you would assess vaginal...

The nurse notices a postpartum patient's lochia is very heavy. Describe how you would assess vaginal bleeding, signs and symptoms of postpartum hemorrhage, and any interventions that the nurse might anticipate.

1) The nurse has just started her morning shift, when entering the client's room, she notices...

1) The nurse has just started her morning shift, when entering the client's room, she notices the wrong IV drip is administering to the client. The nurse quickly stop the IV drip, assess the client's condition, and collect vital signs. What should the nurse do next? A. Document the medication error B. Do nothing as the client condition is normal C. Report this to the nurse supervisor D. Report this to the prescribing physician 2) The nurse is assessing a...

A school nurse notices bruises and scares on a child's body. The nurse suspects the child...

A school nurse notices bruises and scares on a child's body. The nurse suspects the child is being physically abused. What would be the next step for the nurse to take with this information and why?

A vaginal swab sample from a female patient with purulent vaginal discharge is received in a...

A vaginal swab sample from a female patient with purulent vaginal discharge is received in a lab you are employed as a Medical scientist. Name two bacterial pathogens and two fungal pathogens that may lead to development of vaginal discharge Explain the different steps you would follow to determine whether the infection is caused by a fungal agent or a bacterial agent What are the preventative strategies and control measures of sexually transmitted diseases

Fatime Sanogo is a 23-year-old primiparous female from Mali in her first hour after vaginal delivery....

Fatime Sanogo is a 23-year-old primiparous female from Mali in her first hour after vaginal delivery. The patient was admitted yesterday at 0600 hours for oxytocin induction of labor secondary to postdates (41 4/7 weeks). She declined all pain medication during labor. Following a prolonged second stage, she delivered a vigorous female infant at 0605 hours with Apgar scores of 9 and 9 and weight of 4,082 g (9 lb 0 oz). The patient contracted a second-degree perineal laceration during...

what steps of nursing interventions are performed during vaginal delivery? Write in sequence order?

1. The nurse working at the senior center notices Mrs. Jones, a 78-year-old, crying. The nurse...

1. The nurse working at the senior center notices Mrs. Jones, a 78-year-old, crying. The nurse approaches Mrs. Jones and asks if she needs help. Mrs. Jones states “I am so embarrassed. I had another accident and my pants are all wet. It’s like I’m a baby. I never should have come to the senior center.” (Learning Objectives 3 and 4) What factors may be contributing to the urinary incontinence? How should the nurse respond to Mrs. Jones?

Monica who was diagnosed with PIH is 8 hours post vaginal delivery. She remains on Magnesium...

Monica who was diagnosed with PIH is 8 hours post vaginal delivery. She remains on Magnesium Sulfate 2 gm/hr IV. Her deep tendon reflexes are 3+, with 2 beats of clonus present. She is complaining of a severe headache and blurred vision. Her Magnesium blood level is 3.2 mEq/l. What do you suspect is happening? What are your priority nursing interventions and rationales for each intervention?

The nurse working at the senior center notices Mrs Jones,a78-year old crying. The nurse approach Mrs...

The nurse working at the senior center notices Mrs Jones,a78-year old crying. The nurse approach Mrs Jones and asks if she needs help. Mrs Jones stars “ I am so embarrassed. I had another accident and my pants are all wet. It’s like I’m a baby. I never should have come to the senior center. Qn.1: Whar factors may be contributing to urinary incontinence? Q 2: How should the nurse respond to Mrs Jones?

Question