1. C - Uterine firmness
2. A - Risk for Injury
3. C - Apply perineal ice packs consistently for the first 24 to 48hrs
4. D - Hemorrhage
5. A - Massage the fundus
6. C - Activate the priority call light from the bedside
7. C - Assess for bladder distention
8. D - Obtain the vital signs and O2 saturation
9. 1mL
10. 240mL/hr
11. D - Firm fundus
12. C - Uterine atony
13. B - Call Mr.Wilson from the nurses' station to inform him of his wifes' status and request that he come to the hospital soon, without the children
14. B,C,E - Start an additional IV using 16 or 18 gauge angiocath. Prime a new Y-set blood tubing using a new bag of normal saline. Explain the blood transfusion process to Marie.
15. D - Explain Marie's history and request that the infant be fed with formula in the nursery
16. C - Provide a warm blanket and continue to monitor
17. C - Palpate Marie's bladder for fullness and catheterize if indicated
18. B - epidural anesthesia
19. B - Labor and delivery nurse with 12 years of experience, who was called in to work for 4 hours until 2300
20. B - Marie's nurse who has already given the shift report and is preparing to clock out
21. C - Obtain and document Marie's vital signs
22. A - Indications and mechanism of action of caffeine sodium benzoate
23. B - Allow Marie to rest during the blood transfusion, and administer the Rhogam as prescribed at a later time
24. A - Notify the security personnel and direct all staff to report to their assigned exit in the hospital