Nursing Interventions for Lochia
Nursing Interventions for Lochia ( 12 Questions)
A nurse is caring for a postpartum client who reports heavy bleeding and large clots in her lochia.
Which of the following actions should the nurse take?
documenting the finding in the client’s chart is not an immediate action to stop the bleeding and may delay the treatment.
wrong because encouraging the woman to empty her bladder regularly is a preventive measure for postpartum hemorrhage, not a treatment. A full bladder can displace the uterus and prevent it from contracting properly.
Palpate the fundus for firmness. This is because uterine atony is the most common cause of postpartum hemorrhage and palpating the fundus can help assess the tone of the uterus and stimulate contractions. If the fundus is boggy or soft, the nurse should massage it gently until it becomes firm.
otifying the provider is not enough to manage postpartum hemorrhage. The nurse should initiate interventions such as oxytocin administration, uterine massage, bimanual compression, fluid replacement, and blood transfusion as needed.
Notifying the provider should be done after or along with these interventions.
The correct answer is choice C. Palpate the fundus for firmness. This is because uterine atony is the most common cause of postpartum hemorrhage and palpating the fundus can help assess the tone of the uterus and stimulate contractions. If the fundus is boggy or soft, the nurse should massage it gently until it becomes firm.
Choice A is wrong because documenting the finding in the client’s chart is not an immediate action to stop the bleeding and may delay the treatment.
Choice B is wrong because encouraging the woman to empty her bladder regularly is a preventive measure for postpartum hemorrhage, not a treatment. A full bladder can displace the uterus and prevent it from contracting properly.
Choice D is wrong because notifying the provider is not enough to manage postpartum hemorrhage. The nurse should initiate interventions such as oxytocin administration, uterine massage, bimanual compression, fluid replacement, and blood transfusion as needed.
Notifying the provider should be done after or along with these interventions.