Join thousands of students who trust us to help them ace their exams!Watch the first video
Multiple Choice
Which postpartum complication should a nurse closely monitor for in a client with hydramnios?
A
Uterine atony
B
Deep vein thrombosis
C
Pulmonary embolism
D
Endometritis
Verified step by step guidance
1
Understand the condition of hydramnios: Hydramnios, also known as polyhydramnios, is an excessive accumulation of amniotic fluid during pregnancy. This condition can lead to uterine overdistension, which increases the risk of postpartum complications.
Identify the complications associated with hydramnios: Uterine overdistension can impair the ability of the uterus to contract effectively after delivery, leading to uterine atony. Uterine atony is a major cause of postpartum hemorrhage. Other complications such as deep vein thrombosis, pulmonary embolism, and endometritis may also occur but are less directly linked to hydramnios.
Focus on uterine atony: Uterine atony is the inability of the uterus to contract properly after childbirth, which can result in significant blood loss. This is a critical complication to monitor for in clients with hydramnios due to the increased risk of uterine overdistension.
Explain the nurse's role in monitoring for uterine atony: The nurse should assess the uterine tone frequently by palpating the fundus to ensure it is firm and contracted. If the uterus feels boggy or soft, immediate interventions such as uterine massage or administration of uterotonic medications (e.g., oxytocin) may be required.
Highlight the importance of early detection and intervention: Monitoring for signs of excessive bleeding, changes in vital signs (e.g., tachycardia, hypotension), and uterine tone is essential to prevent severe complications. Prompt action can help manage uterine atony and reduce the risk of postpartum hemorrhage.