The postpartum nurse finds a patient who delivered 15 hours ago in shock with hypotension and tachycardia.Perineal assessment reveals hemorrhage and a mass protruding from the vagina.Upon reviewing the woman's medical record,the nurse recognizes which risk factor for this event?

Question

Quizplus · Accepted Answer

Placenta accreta is a risk factor for postpartum hemorrhage and shock due to the abnormal attachment of the placenta to the uterine wall, which can cause the uterus to fail to contract and control bleeding. The presence of a mass in the vagina suggests that the placenta may not have been delivered completely, further contributing to bleeding and shock. Precipitous delivery, premature delivery, and multiple pregnancy may increase the risk of postpartum hemorrhage, but they are not specifically associated with placenta accreta.

The Postpartum Nurse Finds a Patient Who Delivered 15 Hours