To monitor for potential hemorrhage in the woman who has just had ...

[CBme]

To monitor for potential hemorrhage in the woman who has just had a cesarean birth, the recovery room nurse should
 
  a. Maintain an intravenous infusion at 100 mL/hr.
  b. Assess the abdominal dressings for drainage.
  c. Assess the uterus for firmness every 15 minutes.
  d. Monitor her urinary output.

Question 2

While assisting with a vacuum extraction birth, what should the nurse immediately report to the physician?
 
  a. Persistent fetal bradycardia below 100 bpm
  b. Maternal pulse rate of 100 bpm
  c. Maternal blood pressure of 120/70 mm Hg
  d. Decrease in intensity of uterine contractions

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Answer to Question 1

C
Feedback
A Maintaining proper fluid balance will not control hemorrhage.
B This is an important assessment, but hemorrhage will first be noted vaginally.
C Maintaining contraction of the uterus is important in controlling bleeding from
the placental site.
D This is an important assessment to prevent future hemorrhaging from occurring,
but it is not the first priority assessment in the recovery room.

Answer to Question 2

A
Feedback
A Fetal bradycardia may indicate fetal distress and may require immediate
intervention.
B Maternal pulse rate may increase due to the pushing process.
C This blood pressure is within expected norms for this stage of labor.
D The birth is imminent at this point.