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 uterine atony.Which interventions should be included in this client’s plan of care? (Select all that apply)
Administering oxytocin after delivery is one of the interventions that can help prevent or treat PPH due to uterine atony. Uterine atony is the most common cause of PPH and it occurs when the uterus fails to contract after birth, leading to excessive bleeding. Oxytocin is a medication that stimulates uterine contractions and reduces blood loss. Frequent voiding can help empty the bladder and allow the uterus to contract more effectively.
Encouraging frequent voiding is one of the interventions that can help prevent or treat PPH due to uterine atony. Uterine atony is the most common cause of PPH and it occurs when the uterus fails to contract after birth, leading to excessive bleeding. Oxytocin is a medication that stimulates uterine contractions and reduces blood loss. Frequent voiding can help empty the bladder and allow the uterus to contract more effectively.
Assessing vital signs every 4 hours is not frequent enough for a client who is at risk for PPH. Vital signs should be monitored more closely to detect signs of hypovolemia and shock.
Encouraging ambulation as soon as possible can increase the risk of bleeding in a client who has uterine atony. Ambulation should be delayed until the uterus is firm and the bleeding is controlled.
Massaging the fundus is not an intervention for PPH due to uterine atony, but rather for PPH due to retained placental fragments. Massaging the fundus can help expel any remaining tissue from the uterus and prevent infection.
The correct answer is choice A and B. Administering oxytocin after delivery and encouraging frequent voiding are interventions that can help prevent or treat PPH due to uterine atony. Uterine atony is the most common cause of PPH and it occurs when the uterus fails to contract after birth, leading to excessive bleeding. Oxytocin is a medication that stimulates uterine contractions and reduces blood loss. Frequent voiding can help empty the bladder and allow the uterus to contract more effectively.
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 more closely to detect signs of hypovolemia and shock.
Choice D is wrong because encouraging ambulation as soon as possible can increase the risk of bleeding in a client who has uterine atony. Ambulation should be delayed until the uterus is firm and the bleeding is controlled.
Choice E is wrong because massaging the fundus is not an intervention for PPH due to uterine atony, but rather for PPH due to retained placental fragments. Massaging the fundus can help expel any remaining tissue from the uterus and prevent infection.