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Exam NCLEX-RN topic 4 question 99 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 99
Topic #: 4
[All NCLEX-RN Questions]

The most frequent cause of early postpartum hemorrhage is:

  • A. Hematoma
  • B. Coagulation disorders
  • C. Uterine atony
  • D. Retained placental fragments
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Suggested Answer: C 🗳️
(A) Hematomas, which are the result of damage to a vessel wall without laceration of the tissue, are a cause, though not the most frequent cause. (B) Coagulation disorders are among the causes of postpartal hemorrhage, but they are less common. (C) The most frequent causes of hemorrhage in the postpartal period are related to an interference with involution of the uterus. Uterine atony is the most frequent cause, occurring in the first 24 hours after delivery. (D) Retained placental fragments are also a cause, although these bleeds usually occur 714 days after delivery.

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