A nurse is reviewing medication prescriptions for a group of clients. Which of the following prescriptions should the nurse verify with the provider?

A. "You should massage one of your nipples to stimulate contractions of your uterus.": Nipple stimulation is used to induce contractions during a contraction stress test, not a nonstress test. For a nonstress test, the goal is to assess fetal heart rate in response to fetal movements without inducing contractions.

B. "You will have a Doppler transducer applied to your abdomen during the test.": A nonstress test involves placing a Doppler transducer on the maternal abdomen to monitor fetal heart rate and a tocodynamometer to detect uterine activity. The test is noninvasive and monitors fetal heart rate accelerations in response to movement.

C. "You should avoid eating or drinking for 4 hours before the test.": Fasting is not required for a nonstress test. In fact, some providers encourage eating beforehand to promote fetal activity, which helps obtain accurate heart rate accelerations.

D. "You will need blood work before and after the test.": Blood work is not required for a nonstress test. The test relies solely on external monitoring of the fetal heart rate and maternal contractions, making it noninvasive and straightforward.

A. Assess for bladder distention: A full bladder can prevent the uterus from contracting effectively, leading to a boggy fundus and increased risk of postpartum hemorrhage. Assessing and addressing bladder distention is the priority because it directly impacts uterine tone and hemorrhage prevention.

B. Apply supplemental oxygen via nonrebreather mask: Oxygen may be necessary if the client shows signs of hypoxia or shock, but it does not address the primary cause of a boggy uterus. The priority is to correct the underlying issue affecting uterine contraction.

C. Administer intramuscular methylergonovine: Methylergonovine is used to promote uterine contraction, but pharmacologic intervention should follow initial assessment to identify reversible causes such as bladder distention. Administering medication without assessment could overlook a correctable mechanical issue.

D. Analyze coagulation studies: Coagulation studies are important if bleeding persists or coagulopathy is suspected, but they are not the immediate priority in a client with a boggy fundus shortly after birth. Immediate interventions to promote uterine contraction take precedence.