After a lengthy labor and delivery, a client suddenly complains of chest pain and dyspnea. The client is cyanotic, has tachycardia and blood pressure decreased to 78/36 mmHg. Based on these assessment findings, which health problem is the client experiencing?

Question

Quizplus · Accepted Answer

The sudden onset of dyspnea, chest pain, cyanosis, tachycardia, and hypotension after labor and delivery are classic findings of an amniotic fluid embolus. It is a rare but potentially fatal complication that occurs when amniotic fluid or fetal cells enter the maternal circulation, triggering an allergic-like reaction and severe pulmonary hypertension leading to cardiac arrest. Immediate emergency measures are necessary to stabilize the client, administer oxygen, and provide support for vital organ function. Infection, placenta accreta, and hypertensive crisis have different manifestations and do not match the described symptoms.

After a Lengthy Labor and Delivery, a Client Suddenly Complains