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?

This is because a normal urine output in the postpartum period ranges from1.03 to 1.40 cc/kg/hror500 to 1000 mLper void.A urine output of 200 mL for the past 8 hours is much lower than the normal range and indicatesoliguria, which can be a sign ofhypovolemia,renal failure, orurinary retentiondue to postpartum hemorrhage.

Choice B is wrong because a weight decrease of 2 pounds since delivery is normal and expected due to the loss of blood, amniotic fluid, and placenta.

Choice C is wrong because a blood pressure of 110/70 mm Hg is within the normal range and does not indicate hypotension or hypertension.

Choice D is wrong because a hemoglobin level of 12 g/dL is also within the normal range and does not indicate anemia or polycythemia.

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.