A nurse is assisting in the care of a client who is 4 hr postpartum. Which of the following interventions should the nurse perform after finding that the client's uterus is not firm? (Select all that apply.)
Ask the client to empty their bladder
Perform fundal massage
Nothing, this is an expected finding
Ambulate the client in the hallway
Give pain medications
Correct Answer : A,B
A. Ask the client to empty their bladder – Correct; a full bladder can displace the uterus and prevent it from contracting effectively.
B. Perform fundal massage – Correct; fundal massage helps stimulate uterine contractions and reduce postpartum bleeding.
C. Nothing, this is an expected finding – Incorrect; a boggy uterus is not expected and requires intervention to prevent hemorrhage.
D. Ambulate the client in the hallway – Incorrect; while ambulation is beneficial postpartum, it is not the immediate intervention for a non-firm uterus.
E. Give pain medications – Incorrect; pain medications do not directly address uterine atony or bleeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. 160 to 190 bpm/min – Incorrect; this is too high for the normal range but may be seen in early pregnancy.
B. 80 to 100 bpm/min – Incorrect; this is too low and may indicate fetal distress or bradycardia.
C. 100 to 110 bpm/min – Incorrect; while this may be borderline normal in late pregnancy, it is lower than expected at 12 weeks.
D. 110 to 160 bpm/min – Correct; this is the normal fetal heart rate (FHR) range throughout pregnancy.
Correct Answer is D
Explanation
A. G2 T1 P1 A1 L0 – Incorrect; does not include the current pregnancy.
B. G2 T0 P1 A1 L1 – Incorrect; does not include current pregnancy and incorrectly counts a living child.
C. G3 T0 P1 A1 L1 – Incorrect; incorrectly counts a living child.
D. G3 T0 P1 A1 L0 – Correct; accurately represents her pregnancy history.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.