A woman is 3 hours post-early-postpartum hemorrhage of 800 mL at ...

[tuffie]

A woman is 3 hours post-early-postpartum hemorrhage of 800 mL at delivery. Select the nursing actions for care of this patient. (Select all that apply.)
 
  a. Limit fluid intake to prevent nausea and vomiting.
  b. Assess fundus every 4 hours during the first 8 hours.
  c. Explain the importance of preventing an overdistended bladder.
  d. Provide assistance with ambulation.

Question 2

Which of the following are primary risk factors for subinvolution of the uterus? (Select all that apply.)
 
  a. Fibroids
  b. Retained placental tissue
  c. Metritis
  d. Urinary tract infection

[braelync]

Answer to Question 1

ANS: c, dFluid intake should be increased following a postpartum hemorrhage to decrease the risk of hypovolemia. The fundus should be assessed a minimum of every hour for the first 4 hours following a PPH. The woman needs to know the importance of preventing an overdistended bladder to decrease the risk of further hemorrhage. After postpartum hemorrhage, a woman is at risk for orthostatic hypotension.

Answer to Question 2

ANS: a, b, c
Uterine fibroids can interfere with involution. Retained placental tissue does not allow the uterus to remain contracted. Infection in the uterus is a risk factor for subinvolution. UTI does not interfere with involution of the uterus.