What symptoms indicate excessive bleeding after a caesarean section, and what methods are used to control bleeding?

Here are the solutions to the questions: 10. After a caesarian section, which of the following symptoms might indicate that the client is having excessive bleeding? Step 1: Evaluate each symptom for its relevance to excessive bleeding. I. Hypotension (low blood pressure) and tachycardia* (rapid heart rate) are classic signs of hypovolemic shock, which results from significant blood loss. II. Pain and tenderness in the operative area are common post-surgical symptoms and, while severe pain could indicate a hematoma, they are not primary indicators of excessive bleeding* in the same way as vital sign changes. III. Apprehension and restlessness* can be signs of decreased oxygenation to the brain or early shock, both of which can be caused by significant blood loss. Step 2: Identify the combination of symptoms that best indicates excessive bleeding. Symptoms I and III are direct indicators of systemic response to significant blood loss. The correct option is C. I and III. 11. In caring for a mother who has been delivered by caesarian section, which of the following are usually employed to keep the uterus contracted and control bleeding? Step 1: Assess each method for its role in uterine contraction and bleeding control. I. Oxytocic drugs* (e.g., oxytocin) are medications specifically used to stimulate uterine contractions, which compress blood vessels and prevent postpartum hemorrhage. This is a primary method. II. An ice bag to the operative area* is used to reduce pain and swelling at the incision site, not to contract the uterus or control internal uterine bleeding. III. A pressure dressing and tight abdominal binder* provide support to the incision, reduce swelling, and offer comfort. They do not directly cause uterine contraction or control internal uterine bleeding. Step 2: Determine which methods are directly employed for uterine contraction and bleeding control. Only oxytocic drugs directly achieve this. The correct option is A. I Only. 12. Which of the following is NOT a post episiotomy site care measures to be instituted by the midwife? Step 1: Review each option to determine if it is a standard post-episiotomy care measure. A. Discourage early ambulation: Early ambulation (getting up and moving around soon after surgery/delivery) is generally encouraged to prevent complications like deep vein thrombosis (DVT) and promote recovery. Therefore, discouraging it is not* a correct measure. B. Ensure perineal care and personal hygiene*: This is crucial for preventing infection and promoting healing of the episiotomy site. C. Encourage client to eat balanced diet*: Good nutrition is essential for wound healing and overall recovery. D. Keep wound site clean and dry*: This is fundamental for preventing infection and facilitating healing. Step 2: Identify the option that is not* a correct care measure. The correct option is A. Discourage early ambulation. That's 2 down. 3 left today — send the next one.