Question

A nurse is caring for a PP woman who has received epidural anesthesia and is monitoring the woman for the presence of a vulva hematoma. Which of the following assessment findings would best indicate the presence of a hematoma?

1.Complaints of a tearing sensation
2.Complaints of intense pain
3.Changes in vital signs
4.Signs of heavy bruising

Answer 1

The presence of a vulva hematoma in a postpartum woman can be indicated by complaints of intense pain, which is the most telling sign.

Step-by-step explanation:

The presence of a vulva hematoma in a postpartum woman who has received epidural anesthesia can be indicated by complaints of intense pain. A hematoma is a collection of blood outside of blood vessels, and the intense pain would result from the pressure exerted by the hematoma on the surrounding tissues. Other assessment findings may include changes in vital signs such as increased heart rate or blood pressure, and signs of heavy bruising in the vulva area. However, complaints of intense pain are the most telling sign of a vulva hematoma.