A nurse is caring for a client.
Which of the following interventions should the nurse perform? (Click on the exhibit tabs for additional information about the client.
There are three tabs that contain separate categories of data.)

Choice A rationale

Inspecting the perineum does not address uterine atony, which is the leading cause of postpartum hemorrhage. Interventions should focus on uterine contraction to minimize bleeding.

Choice B rationale

Massaging the fundus stimulates uterine contractions, reducing uterine atony and preventing further hemorrhage. This is a first-line intervention for postpartum excessive bleeding.

Choice C rationale

Administering oxytocin enhances uterine contractions and is effective in managing hemorrhage. However, fundal massage is prioritized initially to assess uterine tone and response.

Choice D rationale

Assisting the client to void helps empty the bladder, which may improve uterine contraction. However, fundal massage is the most immediate measure to prevent further bleeding.

Choice A rationale

Potassium intake does not directly affect fibrocystic breast changes or menstruation-related breast discomfort. Fibrocystic changes are influenced by hormonal fluctuations, not electrolyte levels, requiring measures targeting hormonal effects.

Choice B rationale

Increasing fluid intake to 3 liters per day does not specifically alleviate fibrocystic breast discomfort during menstruation. Excess fluid can exacerbate swelling, leading to increased breast tenderness rather than relief.

Choice C rationale

Alcohol consumption can worsen fibrocystic breast discomfort due to its estrogen-modulating effects, which may exacerbate hormonal fluctuations during menstruation, increasing breast pain and sensitivity.

Choice D rationale

Fiber intake does not directly influence fibrocystic breast discomfort or hormonal activity associated with menstruation. Limiting fiber intake is unrelated to managing symptoms of hormonal-induced breast changes.