The nurse has determined that a postpartum client has physical ...

[Lobcity]

The nurse has determined that a postpartum client has physical findings consistent with uterine atony. The nurse plans to take which action first?
 
  1. Massage the uterus until firm.
  2. Take the client's blood pressure.
  3. Ask the client about the presence of pain.
  4. Recheck the amount of drainage on the peripad.

Question 2

The nurse caring for a client with a diagnosis of subinvolution understands that which of the following is a primary cause of this diagnosis?
 
  1. Afterpains
  2. Retained placental fragments from delivery
  3. Increased progesterone levels
  4. Increased estrogen levels

[jaygar71]

Answer to Question 1

1

Rationale: When uterine atony occurs, the first nursing action would be to massage the uterus until firm. If this does not assist in controlling blood loss, then the physician is notified. Addi-tionally, once bleeding is under control, the nurse would monitor the vital signs and estimate the amount of blood loss.

Answer to Question 2

2

Rationale: Retained placental fragments and infections are the primary causes of subinvolution. When either of these processes is present, the uterus has difficulty contracting. The presence of afterpains is an expected finding following delivery. The options increased progesterone levels and increased estrogen levels are not causes of subinvolution.

[Lobcity]

Thanks

[jaygar71]

Welcome