(from search results) A nurse discovers a postpartum client with a boggy uterus, displaced above the right of the umbilicus.
What nursing action is indicated?
Perform immediate fundal massage
Ambulate to the bathroom or use bedpan to empty bladder
Administer oxytocin as prescribed
D. Both A and B.
The Correct Answer is D
The correct answer is choice D. Both A and B. A boggy uterus is a uterus that is enlarged, soft, and tender due to the failure of the uterus to contract sufficiently after delivery. This condition is called uterine atony and it is the most common cause of postpartum hemorrhage. Postpartum hemorrhage is excessive bleeding after childbirth that can lead to shock and death if not treated promptly.
The nursing actions indicated for a boggy uterus are:
• Perform immediate fundal massage: This helps to stimulate uterine contractions and reduce bleeding.
• Ambulate to the bathroom or use bedpan to empty bladder: This helps to reduce bladder distension and allow the uterus to contract and descend into the pelvis.
Choice A is partially correct but not sufficient by itself.
Choice B is also partially correct but not sufficient by itself. Choice C is incorrect because administering oxytocin alone may not be effective in restoring uterine tone if there are other factors contributing to uterine atony, such as overdistension, prolonged labor, or infection. Oxytocin is a hormone that stimulates uterine contractions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Naloxone (Narcan) is a specific opiate antagonist that can reverse respiratory depression in newborn infants that may be due to transplacentally acquired opiates.It can be given intravenously, intramuscularly, intraosseously or subcutaneously.The recommended dose is 100 microgram/kg.
Choice B is wrong because nalbuphine (Nubain) is a mixed opiate agonist-antagonist that can cause respiratory depression and withdrawal symptoms in opioid-dependent mothers and infants.
Choice C is wrong because butorphanol (Stadol) is another mixed opiate agonist-antagonist that can have similar effects as nalbuphine.
Choice D is wrong because fentanyl (Sublimaze) is a synthetic opioid that can cause respiratory depression and sedation in both mothers and infants.
Normal ranges for respiratory rate in newborn infants are 30 to 60 breaths per minute.
Normal ranges for oxygen saturation in newborn infants are 90% to 100%.
Correct Answer is D
Explanation
The correct answer is choice D. Both A and B.A boggy uterus is a uterus that is enlarged, soft, and tender due to the failure of the uterus to contract sufficiently after delivery.This condition is called uterine atony and it is the most common cause of postpartum hemorrhage.Postpartum hemorrhage is excessive bleeding after childbirth that can lead to shock and death if not treated promptly.
The nursing actions indicated for a boggy uterus are:
• Perform immediate fundal massage: This helps to stimulate uterine contractions and reduce bleeding.
• Ambulate to the bathroom or use bedpan to empty bladder: This helps to reduce bladder distension and allow the uterus to contract and descend into the pelvis.
Choice A is partially correct but not sufficient by itself.
Choice B is also partially correct but not sufficient by itself.Choice C is incorrect because administering oxytocin alone may not be effective in restoring uterine tone if there are other factors contributing to uterine atony, such as overdistension, prolonged labor, or infection.Oxytocin is a hormone that stimulates uterine contractions.
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