A 25-year-old gravida 3,para 2 client gave birth to a 9-pound,7-ounce boy,4 hours ago after augmentation of labor with oxytocin (Pitocin).She presses her call light,and asks for her nurse right away,stating "I'm bleeding a lot." What is the most likely cause of postpartum hemorrhaging in this client?

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Quizplus · Accepted Answer

This woman gave birth to a macrosomic infant after oxytocin augmentation.Combined with these risk factors,uterine atony is the most likely cause of bleeding 4 hours after delivery.Although retained placental fragments may cause postpartum hemorrhaging,it is typically detected within the first hour after delivery of the placenta and is not the most likely cause of the hemorrhaging in this woman.Although unrepaired vaginal lacerations may also cause bleeding,it typically occurs in the period immediately after birth.Puerperal infection can cause subinvolution and subsequent bleeding that is,however,typically detected 24 hours postpartum.

A 25-Year-Old Gravida 3,para 2 Client Gave Birth to a 9-Pound,7-Ounce