You are required to administer 3,800 units of Heparin sodium dose subcutaneously (SQ) to a mother.

The pharmacy sends a 10,000 units in a 5ml vial.

How many mls will the nurse administer?

Choice A rationale

It is important to encourage breastfeeding rather than offering formula, especially if the mother wishes to breastfeed.

Choice B rationale

Pumping is not necessary at this time as the baby is just 4 hours old and establishing feeding patterns.

Choice C rationale

Consulting the pediatrician is not immediately necessary for this situation.

Choice D rationale

Teaching the mother about newborn sleep and hunger patterns is appropriate, as newborns often have irregular feeding schedules in the first few days. .

Choice A rationale

Placing the patient in a Trendelenburg position is not the immediate priority. This position is often used to manage shock or to improve blood flow to the brain, but it does not directly address the cause of heavy lochia. It may not be the most effective first intervention in this situation.

Choice B rationale

Notifying the physician is important, but the nurse should first attempt to control the bleeding. The physician can be notified after initial measures to stop the bleeding are taken. Immediate intervention by the nurse is crucial in this scenario to stabilize the patient.

Choice C rationale

Administering Methylergonovine can help control postpartum hemorrhage, but this should be done after attempting non-pharmacological measures like fundal massage. Methylergonovine can have side effects and should be used with caution.

Choice D rationale

Massaging the fundus until it is firm is the immediate priority. This can help expel clots and stimulate uterine contraction, which can reduce bleeding. It is a direct and immediate intervention to address the heavy lochia.