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Evaluation ( 5 Questions)
A nurse is caring for a client who had a postpartum hemorrhage due to uterine atony.
Which of the following interventions should the nurse perform first?
This is a medication that can help with uterine contractions, but it is not the first intervention.The nurse should first try a nonpharmacologic method such as fundal massage before giving any drugs.
This is the first intervention that the nurse should perform to stimulate uterine contractions and prevent excessive bleeding due to uterine atony.Uterine atony is a condition where the uterus does not contract enough after delivery and is the most common cause of postpartum hemorrhage.
Normal ranges for vital signs and oxygen saturation are:
• Blood pressure: 110/60 to 140/90 mm Hg
• Pulse: 60 to 100 beats per minute
• Respirations: 12 to 20 breaths per minute
• Temperature: 36.5 to 37.5°C (97.7 to 99.5°F)
• Oxygen saturation: 95% to 100%
This is an important assessment to monitor the patient’s condition, but it is not the first intervention.The nurse should first try to stop the bleeding by massaging the fundus.
This is a procedure that can help with emptying the bladder and reducing pressure on the uterus, but it is not the first intervention.The nurse should first try to stimulate uterine contractions by massaging the fundus.
This is the first intervention that the nurse should perform to stimulate uterine contractions and prevent excessive bleeding due to uterine atony. Uterine atony is a condition where the uterus does not contract enough after delivery and is the most common cause of postpartum hemorrhage.
The other statements are wrong because:
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A. Administer oxytocin as prescribed.
This is a medication that can help with uterine contractions, but it is not the first intervention. The nurse should first try a nonpharmacologic method such as fundal massage before giving any drugs.
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C. Assess vital signs and oxygen saturation.
This is an important assessment to monitor the patient’s condition, but it is not the first intervention. The nurse should first try to stop the bleeding by massaging the fundus.
•
D. Insert an indwelling urinary catheter.
This is a procedure that can help with emptying the bladder and reducing pressure on the uterus, but it is not the first intervention. The nurse should first try to stimulate uterine contractions by massaging the fundus.
Normal ranges for vital signs and oxygen saturation are:
• Blood pressure: 110/60 to 140/90 mm Hg
• Pulse: 60 to 100 beats per minute
• Respirations: 12 to 20 breaths per minute
• Temperature: 36.5 to 37.5°C (97.7 to 99.5°F)
• Oxygen saturation: 95% to 100%