A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position. Which of the following questions should the nurse ask to evaluate the effectiveness of this intervention?

Rationale:

A. Vacuum-assisted delivery increases the risk of postpartum hemorrhage due to potential trauma to the birth canal and uterus.

B. A history of human papillomavirus is not directly associated with an increased risk of postpartum hemorrhage.

C. A history of uterine atony (inability of the uterus to contract effectively after delivery) is a significant risk factor for postpartum hemorrhage.

D. Labor induction with oxytocin can lead to uterine hyperstimulation or tetanic contractions, which may contribute to uterine atony and postpartum hemorrhage.

E. Newborn weight is not a risk factor for postpartum hemorrhage.

Rationale:

A. Determining the client's apical pulse rate is important for monitoring the effects of digoxin therapy but does not directly assess medication adherence.

B. Asking the client if they are taking the medication as prescribed is a direct way to evaluate medication adherence. Open communication with the client can provide valuable insight into their medication-taking behavior.

C. Assessing the client's kidney function is important for monitoring the effects of digoxin therapy but does not directly assess medication adherence.

D. Checking the client's serum medication level can provide information about medication concentration but may not necessarily indicate adherence, as the level could be within the therapeutic range even if the client is not taking the medication as prescribed.