A woman develops severe perineal pressure and increasing pain several hours after a vaginal birth. The perineum is swollen, but vaginal bleeding is small. Which action is the priority?
Correct answer: C. Notify the provider and assess vital signs
- A. Apply firm massage to the swollen area
- B. Encourage the woman to walk around
- C. Notify the provider and assess vital signs
- D. Offer oral fluids and reassess later
Explanation
Severe pain, pressure and swelling with little visible bleeding suggest a concealed perineal or vaginal haematoma. Prompt assessment and reporting are required because blood may collect in the tissues without obvious external loss.
Report an error
The more specific you are, the faster it gets fixed. A source beats an opinion.
Prefer email? support@testustad.com
About Postnatal Care and Breastfeeding
Maternal postnatal care assesses uterine involution, lochia, perineal healing, bladder and bowel function, vital signs, emotional wellbeing and signs of puerperal infection or haemorrhage. Breastfeeding covers colostrum, milk production, positioning and attachment, feeding frequency, common difficulties and the distinction between normal breast changes and mastitis.
Practise Postnatal Care and Breastfeeding
50 free Postnatal Care and Breastfeeding MCQs from Midwifery and Obstetric Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
Discussion
Stuck on an option, or know a faster way to get there? Ask or explain it here.
No comments yet. Be the first to explain this one.
Exams that ask Midwifery and Obstetric Nursing questions like this
Midwifery and Obstetric Nursing is on 9 papers prepared for on TestUstad, and all of them draw the same bank, so this question is worth knowing for every one of them.
More Postnatal Care and Breastfeeding questions
Which finding most strongly suggests puerperal endometritis in a postnatal woman?
A breastfeeding mother has one painful, red, wedge-shaped area of the breast and a fever. Which advice is most appropriate?
Which observation shows that a newborn is well attached to the breast?
Which finding is most consistent with postpartum blues rather than postpartum depression?
A postnatal woman has unilateral calf swelling, warmth and pain when walking. Which nursing action is most appropriate?
Which postnatal symptom requires urgent assessment for postpartum hypertension or pre-eclampsia?