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A multiparous woman is admitted to the postpartum unit after a rapid labor and birth of a 4000 g ...

Darkne55reborn

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6 years ago

A multiparous woman is admitted to the postpartum unit after a rapid labor and birth of a 4000 g ...

A multiparous woman is admitted to the postpartum unit after a rapid labor and birth of a 4000 g infant. Her fundus is boggy, lochia is heavy, and vital signs are unchanged.

The nurse has the woman void and massages her fundus, but her fundus remains difficult to find, and the rubra lochia remains heavy. The nurse should a. Continue to massage the fundus.
b. Notify the physician.
c. Recheck vital signs.
d. Insert a Foley catheter.

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jargibay

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6 years ago

B
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A The uterine muscle can be overstimulated by massage, leading to uterine atony
and rebound hemorrhage.
B Treatment of excessive bleeding requires the collaboration of the physician and
the nurses. Do not leave the patient alone.
C The nurse should call the clinician while a second nurse rechecks the vital signs.
D The woman has voided successfully, so a Foley catheter is not needed at this
time.

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