ATI Real Life RN Maternal Newborn 3.0: Postpartum Hemorrhage Detailed Q&A 2024 Nurse Dee is preparing to assess Ms. Hodges's uterus. Which of the following images demonstrates the technique she should use to palpate the fundus of the uterus? two hands close together Image of the nurse using two hands, with the upper hand over the fundus, or umbilical area, and the lower hand supporting the lower uterine segment (Text: Nurse Dee places one hand over the umbilical area and the other hand below the umbilical region to support the area she is palpating with the hand above.) Rationale The correct position for the nurse to place her hands is above the fundus and below the lower uterine segment just above the symphysis pubis. This allows the nurse to cradle the uterus while assessing uterine integrity. Nurse Dee has completed a postpartum assessment of Ms. Hodges. Which of the following is the priority action at this time? Assist Ms. Hodges to empty her bladder. Rationale The nurse should assist the client to empty her bladder. A distended bladder can interfere with the ability of the uterus to contract and increase the risk of hemorrhage. Nurse Dee is preparing to notify the provider about Ms. Hodges's increased bleeding. Which of the following laboratory tests should the nurse anticipate the provider will prescribe? (Select all that apply.) Platelet Hemoglobin Hematocrit Rationale The nurse should anticipate the provider will order the following laboratory tests: hemoglobin, which is an indicator of the number of RBCs and decreases during hypovolemia and hemorrhage; hematocrit, which is the percent of RBCs in the total blood volume, and decreases during hypovolemia and hemorrhage; platelets, which are cell fragments that facilitate blood clotting and a decrease in the number of circulating platelets can increase a client's risk for bleeding. Nurse Dee is reviewing Dr. Lowenthal's prescriptions for pain medication for Ms. Hodges. Which of the following is the most appropriate medication to control Ms. Hodges's pain at this time? Ibuprofen (Motrin) 600 mg Rationale The nurse should give ibuprofen, an NSAID, for mild to moderate pain.
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