More Questions on this Topic
More Questions on this Topic ( 24 Questions)
A nurse is caring for a client who has just delivered her baby and is at risk for PPH due to retained placental fragments.
Which interventions should be included in this client’s plan of care? (Select all that apply.)
Administering oxytocin after delivery is an effective way to prevent and treat uterine atony, which is the most common cause of PPH.
Encouraging frequent voiding can help reduce bladder distension, which can interfere with uterine contraction and increase bleeding.
Assessing vital signs every 4 hours is not frequent enough for a client who is at risk for PPH. Vital signs should be monitored every 15 minutes for the first hour, then every hour for the next 4 hours, and then every 4 hours thereafter.
Encouraging ambulation as soon as possible can increase the risk of bleeding and shock in a client who has retained placental fragments. Ambulation should be delayed until the fragments are removed and the bleeding is controlled.
The correct answer is choice A and B. Administering oxytocin after delivery is an effective way to prevent and treat uterine atony, which is the most common cause of PPH. Encouraging frequent voiding can help reduce bladder distension, which can interfere with uterine contraction and increase bleeding.
Choice C is wrong because assessing vital signs every 4 hours is not frequent enough for a client who is at risk for PPH. Vital signs should be monitored every 15 minutes for the first hour, then every hour for the next 4 hours, and then every 4 hours thereafter.
Choice D is wrong because encouraging ambulation as soon as possible can increase the risk of bleeding and shock in a client who has retained placental fragments. Ambulation should be delayed until the fragments are removed and the bleeding is controlled.