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Nursing Diagnosis
Nursing Diagnosis ( 5 Questions)
A nurse is caring for a client who had a vaginal delivery and is experiencing postpartum hemorrhage due to uterine atony.
Which of the following actions should the nurse take first?
Administering oxytocin as prescribed is a secondary action that can be taken after massaging the uterine fundus if bleeding persists.Oxytocin is a medication that promotes uterine contraction and reduces blood loss.
Massaging the uterine fundus gently is the first action that the nurse should take to stimulate uterine contractions and control bleeding due to uterine atony.Uterine atony is the most common cause of postpartum hemorrhage and occurs when the uterus fails to contract after delivery.
Starting an intravenous line with a large bore catheter is a tertiary action that can be taken after massaging the uterine fundus and administering oxytocin if bleeding continues.An intravenous line can provide fluid replacement and blood transfusion if needed.
Placing the client in a side lying position is not a priority action for postpartum hemorrhage due to uterine atony.This position may help reduce pressure on the vena cava and improve blood flow, but it does not address the underlying cause of bleeding.
Massaging the uterine fundus gently is the first action that the nurse should take to stimulate uterine contractions and control bleeding due to uterine atony. Uterine atony is the most common cause of postpartum hemorrhage and occurs when the uterus fails to contract after delivery.
Choice A is wrong because administering oxytocin as prescribed is a secondary action that can be taken after massaging the uterine fundus if bleeding persists. Oxytocin is a medication that promotes uterine contraction and reduces blood loss.
Choice C is wrong because starting an intravenous line with a large bore catheter is a tertiary action that can be taken after massaging the uterine fundus and administering oxytocin if bleeding continues. An intravenous line can provide fluid replacement and blood transfusion if needed.
Choice D is wrong because placing the client in a side lying position is not a priority action for postpartum hemorrhage due to uterine atony. This position may help reduce pressure on the vena cava and improve blood flow, but it does not address the underlying cause of bleeding.