Try Naxlex NCLEX-RN (Free-Trial)

A nurse is performing fundal massage for a client who has uterine atony and postpartum hemorrhage.

Which of the following actions should the nurse take when performing this procedure?

Use one hand to stabilize the lower uterine segment while massaging the fundus with the other hand

Apply firm pressure on the fundus with both hands until it becomes firm and contracted

Massage the fundus in a circular motion with one hand while supporting the back with the other hand

Rub the fundus vigorously with one hand until it becomes hard and expels clots

Answer and Explanation

The Correct Answer is A

Use one hand to stabilize the lower uterine segment while massaging the fundus with the other hand.

This action prevents the uterus from inverting and reduces the risk of trauma to the cervix and vagina.

The nurse should also monitor the amount and consistency of lochia.

Choice B is wrong because applying firm pressure on the fundus with both hands can cause uterine inversion, which is a life-threatening complication of postpartum hemorrhage.

The nurse should use gentle pressure and avoid overstimulation of the uterus.

Choice C is wrong because massaging the fundus in a circular motion with one hand while supporting the back with the other hand can cause displacement of the uterus and increase bleeding.

The nurse should massage the fundus in a downward motion from the top of the uterus to the umbilicus.

Choice D is wrong because rubbing the fundus vigorously with one hand until it becomes hard and expels clots can cause uterine rupture, which is another serious complication of postpartum hemorrhage.

The nurse should avoid excessive manipulation of the uterus and allow clots to pass naturally.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

The nurse should assess the client’s blood pressure before administering methylergonovine because this medication can cause hypertension and vasoconstriction.The nurse should also monitor the client’s blood pressure after administration for any signs of hypertensive crisis.

Choice B.Temperature is wrong because methylergonovine does not affect the body temperature significantly.

However, the nurse should monitor the client’s temperature for any signs of infection or fever.

Choice C.Respiratory rate is wrong because methylergonovine does not affect the respiratory system significantly.

However, the nurse should monitor the client’s respiratory rate for any signs of distress or hypoxia.

Choice D.Oxygen saturation is wrong because methylergonovine does not affect the oxygen saturation significantly.

However, the nurse should monitor the client’s oxygen saturation for any signs of hypoxemia or cyanosis.

Methylergonovine is a uterine stimulant that helps prevent postpartum hemorrh

A. Increase fluid intake to at least 3 L per day B. Increase iron-rich foods in the diet C. Avoid strenuous activities for 6 weeks D. Report any signs of infection, such as fever or foul-smelling lochia E. Resume sexual intercourse as soon as desired

Correct Answer is ["B","D","E"]

Explanation

The correct answer is choice B, D and E. The nurse should include the following information in the teaching:

• Increase iron-rich foods in the diet.This can help replenish the blood loss and prevent anemia.

• Report any signs of infection, such as fever or foul-smelling lochia.These can indicate a serious complication that needs immediate medical attention.

• Resume sexual intercourse as soon as desired.There is no evidence that sexual activity increases the risk of bleeding or infection after postpartum hemorrhage.

Choice A is wrong because increasing fluid intake to at least 3 L per day is not necessary for postpartum hemorrhage recovery.Fluid intake should be based on thirst and urine output.

Choice C is wrong because avoiding strenuous activities for 6 weeks is not a specific recommendation for postpartum hemorrhage.The nurse should advise the client to gradually resume normal activities as tolerated and to rest when needed.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is performing fundal massage for a client who has uterine atony and postpartum hemorrhage. Which of the following actions should the nurse take when performing this procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer methylergonovine to a client who has a postpartum hemorrhage due to uterine atony. Which of the following assessments should the nurse perform prior to administration?

Correct Answer is A

Explanation

A nurse is providing discharge instructions to a client who had postpartum hemorrhage and received blood transfusions during her hospital stay. Which of the following information should the nurse include in the teaching? (Select all that apply)

Correct Answer is ["B","D","E"]

Explanation

What is the most common cause of late postpartum hemorrhage?

A nurse is caring for a client who has just delivered her baby and is at risk for PPH due to retained placental fragments. Which interventions should be included in this client’s plan of care? (Select all that apply.)

A nurse is evaluating the effectiveness of interventions for a client who has postpartum hemorrhage due to retained placental fragments. Which of the following outcomes indicates that the interventions are successful?

A nurse is caring for a client who experienced a postpartum hemorrhage after delivering a large baby following oxytocin induction of labor. Which of the following factors put this client at risk for developing postpartum hemorrhage? (Select all that apply)

Postpartum hemorrhage is classified into two groups: early postpartum hemorrhage and late postpartum hemorrhage. What is the most common cause of early postpartum hemorrhage?

A nurse is caring for a client who has just delivered a baby and is experiencing postpartum hemorrhage due to uterine atony. Which of the following medications should the nurse anticipate administering? Select all that apply:

A nurse is performing fundal massage for a client who has uterine atony and postpartum hemorrhage. Which of the following actions should the nurse take when performing this procedure?

Which of the following is the most common cause of postpartum hemorrhage?

A nurse is performing fundal massage for a client who has uterine atony and postpartum hemorrhage.

Which of the following actions should the nurse take when performing this procedure?