CNM Certified Nurse Midwife

Category - Postpartum

A nurse midwife is assessing a postpartum client who gave birth through vaginal delivery 18 hours ago. On assessment, the nurse midwife suspects that the client has cervical laceration. Which of the following findings is expected in this condition?
  1. Uterine hyperactivity
  2. Soft uterus
  3. A gush of dark, red blood from the vagina
  4. Continuous seepage of bright red blood from the vagina
Explanation
Answer: D - Continuous seepage of bright red blood from the vagina with a firm uterus suggests cervical laceration. The bleeding usually occurs minutes after the delivery of placenta.
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