Risk factors
Risk factors ( 4 Questions)
A nurse is caring for a client who has just delivered a baby and is at risk for postpartum hemorrhage.
Which of the following interventions should the nurse include in the plan of care?
Administering oxytocin (Pitocin) after delivery is the most effective intervention to prevent postpartum hemorrhage caused by uterine atony. Oxytocin is a uterotonic agent that stimulates uterine contractions and reduces bleeding.
Encouraging the client to ambulate as soon as possible may increase the risk of bleeding and shock if the client has uterine atony or lacerations.
Encouraging the client to drink fluids only when thirsty may lead to dehydration and hypovolemia, which can worsen the effects of hemorrhage.
Administering magnesium sulfate (MgSO4) during labor is used to prevent seizures in clients with preeclampsia or eclampsia, not to prevent postpartum hemorrhage. Magnesium sulfate may also cause uterine relaxation and increase bleeding.
Administering oxytocin (Pitocin) after delivery is the most effective intervention to prevent postpartum hemorrhage caused by uterine atony. Oxytocin is a uterotonic agent that stimulates uterine contractions and reduces bleeding.
Choice B is wrong because encouraging the client to ambulate as soon as possible may increase the risk of bleeding and shock if the client has uterine atony or lacerations.
Choice C is wrong because encouraging the client to drink fluids only when thirsty may lead to dehydration and hypovolemia, which can worsen the effects of hemorrhage.
Choice D is wrong because administering magnesium sulfate (MgSO4) during labor is used to prevent seizures in clients with preeclampsia or eclampsia, not to prevent postpartum hemorrhage. Magnesium sulfate may also cause uterine relaxation and increase bleeding.