Author Question: A patient who gave birth 5 hours ago has completely saturated a perineal pad within 15 minutes. ... (Read 50 times)

BrownTown3 · **on:** Jun 27, 2018

A patient who gave birth 5 hours ago has completely saturated a perineal pad within 15 minutes. Which action by the nurse should be implemented first?

A) Assess vital signs.
B) Assess the fundus.
C) Notify the health care provider.
D) Begin an IV infusion of Ringer's lactate solution.

Question 2

A woman with placenta previa is being treated with expectant management. The woman and fetus are stable. The nurse is assessing the woman for possible discharge home.

Which statement by the woman would suggest to the nurse that home care might be inappropriate? A) My mother lives next door and can drive me here if necessary..
B) I have a toddler and preschooler at home who need my attention..
C) I know to call my health care provider right away if I start to bleed again..
D) I realize the importance of following the instructions for my care..

Heffejeff · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
Feedback:
The best safeguard against uterine atony is to palpate the fundus at frequent intervals to be assured that the uterus is remaining contracted. If bleeding persists, then vital signs assessment and notification to the health care provider may be indicated. An intravenous infusion might be prescribed if bleeding continues.

Answer to Question 2

B
Feedback:
Having a toddler and preschooler at home needing attention suggest that the woman would have difficulty maintaining bed rest at home. Therefore, expectant management at home may not be appropriate. Expectant management is appropriate if the mother and fetus are both stable, there is no active bleeding, the client has readily available access to reliable transportation, and can comprehend instructions.