Final Answer:
When reviewing the causes of late postpartum hemorrhage, A) Retained placental fragments the nurse identify as the most common cause.
Step-by-step explanation:
The most common cause of late postpartum hemorrhage is retained placental fragments, as indicated by option A. Retained placental tissue can lead to ongoing bleeding after childbirth, posing a significant risk for maternal health.
Timely identification and management of retained placental fragments are crucial to prevent complications associated with postpartum hemorrhage.
Late postpartum hemorrhage occurs after 24 hours and up to 6 weeks postpartum. Retained placental fragments can result from incomplete expulsion of the placenta during delivery, and if left untreated, they may cause persistent bleeding. Other potential causes mentioned in options B, C, and D (uterine atony, cervical or vaginal lacerations, and uterine inversion) can also contribute to postpartum hemorrhage, but they are less frequently encountered compared to retained placental fragments.
Understanding the etiology of late postpartum hemorrhage is fundamental for healthcare providers involved in maternal care. Effective postpartum care includes vigilant monitoring, early detection, and appropriate management of potential causes to ensure the well-being of both the mother and the newborn. In summary, option A correctly identifies retained placental fragments as the most common cause of late postpartum hemorrhage, emphasizing the importance of thorough postpartum assessments and interventions.