The nurse is assisting a multiparous woman to the bathroom for ...

[ap345]

The nurse is assisting a multiparous woman to the bathroom for the first time since her delivery 3 hours ago. When the client stands up, blood runs down her legs and pools on the floor. The client turns pale and feels weak.
 
  What would be the first action of the nurse? 1. Assist the client to empty her bladder
  2. Help the client back to bed to check the fundus
  3. Assess her blood pressure and pulse
  4. Begin an IV of lactated Ringer's solution

Question 2

The charge nurse is assessing several postpartum clients. Which client has the greatest risk for postpartum hemorrhage?
 
  1. The client who was overdue and delivered vaginally
  2. The client who delivered by scheduled cesarean delivery
  3. The client who had oxytocin augmentation of labor
  4. The client who delivered vaginally at 36 weeks

[vickyvicksss]

Answer to Question 1

2
Explanation: 2. Massaging the fundus is the top priority because of the excessive blood loss. If the fundus is not firm, gentle fundal massage is performed until the uterus contracts.

Answer to Question 2

3
Explanation: 3. Uterine atony is a cause of postpartal hemorrhage. A contributing factor to uterine atony is oxytocin augmentation of labor.