More questions on this topic
More questions on this topic ( 18 Questions)
The nurse is providing postpartum care to a patient 24 hours after a vaginal delivery. Which action does the nurse perform prior to assessing the patient’s uterus?
Placing the patient on the left side does not affect the uterus assessment. It may help with blood circulation and oxygenation, but it is not necessary before checking the uterus.
Assessing the passage of lochia is part of the uterus assessment, not a prerequisite. Lochia is the vaginal discharge after giving birth, containing blood, mucus, and uterine tissue It has three stages: lochia rubra (red), lochia serosa (pinkish brown), and lochia alba (yellowish white)
This is because a full bladder can displace the uterus and interfere with its contraction, which can lead to postpartum hemorrhage The nurse should assess the patient’s uterus after ensuring that the bladder is empty.
Administering a dose of oxytocin is not required before assessing the uterus. Oxytocin is a hormone that stimulates uterine contractions and reduces bleeding. It may be given during or after labor to prevent or treat postpartum hemorrhage, but it is not a routine procedure.
The correct answer is choice C. Ask the patient to void. This is because a full bladder can displace the uterus and interfere with its contraction, which can lead to postpartum hemorrhage The nurse should assess the patient’s uterus after ensuring that the bladder is empty.
Choice A is wrong because placing the patient on the left side does not affect the uterus assessment. It may help with blood circulation and oxygenation, but it is not necessary before checking the uterus.
Choice B is wrong because assessing the passage of lochia is part of the uterus assessment, not a prerequisite. Lochia is the vaginal discharge after giving birth, containing blood, mucus, and uterine tissue It has three stages: lochia rubra (red), lochia serosa (pinkish brown), and lochia alba (yellowish white)
Choice D is wrong because administering a dose of oxytocin is not required before assessing the uterus.
Oxytocin is a hormone that stimulates uterine contractions and reduces bleeding. It may be given during or after labor to prevent or treat postpartum hemorrhage, but it is not a routine procedure.