Inpatient Obstetric Nurse (NCC) Practice Exam 2025 - Free NCC Practice Questions and Study Guide

Question: 1 / 400

In managing postpartum hemorrhage, what position should the nurse initially place the patient?

Left lateral position

In managing postpartum hemorrhage, placing the patient in the left lateral position is critical for several reasons. This position helps to optimize blood flow to vital organs by reducing pressure on the inferior vena cava, which can occur when patients are in a supine position. Compression of the vena cava can lead to decreased venous return and potential hypotension, which can exacerbate the overall condition, especially in the context of bleeding.

Furthermore, the left lateral position may help promote uterine contraction by allowing the uterus to contract more effectively and reduce the risk of further hemorrhage. For patients with heavy blood loss, maintaining a position that does not compromise circulation is essential, making the left lateral position an ideal choice for stabilizing the patient.

The other options may not provide the same benefits in terms of venous return and prevention of further hemodynamic instability. The supine position with legs elevated can sometimes lead to compression of the vena cava as well, while sitting upright or in the right lateral position may not enhance blood flow to the heart and vital organs in the same way as the left lateral position does.

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Supine position with legs elevated

Sitting upright

Right lateral position

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