An 18-hour-old baby with an elevated bilirubin level is placed under the bili lights.Which of the following is an expected nursing action in these circumstances?

Choice A rationale

Labor dystocia involves prolonged labor. Her fast delivery history suggests the opposite, indicating rapid labor progress.

Choice B rationale

Rapid labor progression, frequent contractions, and previous short labors suggest she is at risk for precipitous labor, requiring immediate preparation for delivery.

Choice C rationale

Cephalopelvic disproportion indicates size mismatch between baby and pelvis, not rapid labor. Her history of quick deliveries does not align with this condition.

Choice D rationale

False labor typically involves irregular, less intense contractions. Her regular, intense contractions and labor history suggest active labor, not false labor.

Choice A rationale

Retained tissue can cause postpartum hemorrhage, but with a firm uterus and no other signs of retained placenta, this is less likely the cause here.

Choice B rationale

Trauma is the most likely cause of increased bleeding in this scenario. The prolonged oxytocin induction and macrosomic infant suggest a higher risk of lacerations or uterine atony despite the firm uterus.

Choice C rationale

Thrombin disorders cause bleeding due to clotting issues. However, this patient shows signs of active bleeding and clotting, making this less likely.

Choice D rationale

Uterine atony, indicated by a soft, boggy uterus, is a common cause of postpartum hemorrhage, but in this case, the uterus is firm, so it's less likely to be the cause.