A nurse is caring for a patient who is 1 hour postpartum and has uterine atony. The patient is exhibiting a large amount of vaginal bleeding.What action should the nurse take?
Obtain a specimen for a Kleihauer-Betke test.
Anticipate a prescription for misoprostol.
Administer betamethasone IM.
Avoid performing sterile vaginal examinations.
The Correct Answer is B
Choice A rationale
Obtaining a specimen for a Kleihauer-Betke test is not the immediate action to take when a patient is experiencing a large amount of vaginal bleeding due to uterine atony.
Choice B rationale
Misoprostol is a medication that can be used to treat uterine atony. It helps to contract the uterus and reduce bleeding.
Choice C rationale
Administering betamethasone IM is not the appropriate action. Betamethasone is a steroid medication often used to mature the lungs of a fetus at risk of premature birth, not to treat uterine atony.
Choice D rationale
Avoiding sterile vaginal examinations is not the immediate action to take when a patient is experiencing a large amount of vaginal bleeding due to uterine atony.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While it’s important to monitor blood pressure in a client with peripartum cardiomyopathy, assessing it twice daily is not a specific intervention for this condition.
Choice B rationale
Restricting daily oral fluid intake is a key intervention in managing peripartum cardiomyopathy. This condition can lead to fluid overload, so limiting fluid intake can help prevent worsening of symptoms.
Choice C rationale
Misoprostol is a medication used to prevent stomach ulcers or to induce labor. It is not used in the management of peripartum cardiomyopathy.
Choice D rationale
Administering an IV bolus of lactated Ringer’s can increase the client’s fluid volume, which is not recommended in peripartum cardiomyopathy as it can exacerbate heart failure symptoms. Explore
Correct Answer is B
Explanation
Choice A rationale
A hematocrit level of 37% is within the normal range for a pregnant woman, which is 33% to 46%. Therefore, this result does not need to be reported to the provider.
Choice B rationale
A fasting blood glucose level of 180 mg/dL is significantly higher than the normal range of 74 to 106 mg/dL. This could indicate gestational diabetes, which can lead to various complications for both the mother and the baby. Therefore, this finding should be reported to the provider.
Choice C rationale
A creatinine level of 0.9 mg/dL is within the normal range of 0.5 to 1 mg/dL for a female client aged 18 to 40 years.
Choice D rationale
A WBC count of 11,000/mm is slightly above the normal range of 5,000 to 10,000/mm. However, it’s common for the WBC count to increase during pregnancy due to physiological changes. Therefore, this result does not need to be reported to the provider.
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