31. A nurse is preparing to perform Leopold maneuvers on a client who is at 36 weeks of gestation. Identify the sequence of actions the nurse should take. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps)

Rationale:

A. Applying an ice pack to the incision site is not indicated for addressing vaginal bleeding after cesarean birth and may not effectively address the underlying cause.

B. Replacing the surgical dressing is not the first action to take when assessing vaginal bleeding after cesarean birth. The priority is to evaluate the client's condition and identify the cause of the bleeding.

C. Evaluating urinary output is important to assess for urinary retention, which can contribute to uterine atony and postpartum bleeding. A full bladder can interfere with uterine contraction and lead to increased bleeding.

D. Administering a lactated Ringer's IV bolus may be indicated if the client is hypovolemic due to excessive bleeding, but it is not the first action to take. Assessing urinary output and addressing potential causes of bleeding take precedence.

Rationale:

A. Raw carrots are not a significant source of vitamin B12, which is typically lacking in a vegan diet.

B. Brown rice is a healthy grain but does not contain vitamin B12, which is necessary for those following a vegan diet.

C. Fresh citrus fruits provide vitamin C but not vitamin B12, which is important for individuals following a vegan diet.

D. Fortified soy milk is often enriched with vitamin B12, making it a suitable recommendation for individuals practicing a vegan diet who need to increase their intake of this nutrient.