The initial nursing intervention when caring for a woman experiencing an obstetric hemorrhage associated with uterine atony is to:
Prepare the woman for surgical intervention.
Perform fundal massage.
Establish venous access.
Catheterize the bladder.
The Correct Answer is B
Choice A rationale
Surgical intervention is not the initial step for uterine atony as conservative measures, such as fundal massage, are prioritized to encourage uterine contraction and reduce bleeding.
Choice B rationale
Fundal massage stimulates uterine contraction by mechanically compressing the myometrium, which helps to constrict the spiral arteries and reduce hemorrhage caused by uterine atony.
Choice C rationale
Establishing venous access is critical for fluid resuscitation but does not directly address the underlying cause of hemorrhage, which requires mechanical or pharmacological uterine contraction.
Choice D rationale
Catheterizing the bladder can prevent displacement of the uterus but does not directly address uterine atony. An empty bladder supports fundal massage by allowing proper uterine positioning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Projectile vomiting is not a typical symptom of diaphragmatic hernia. This condition primarily affects respiratory function due to lung compression by abdominal organs in the chest cavity.
Choice B rationale
High-pitched crying is not a hallmark symptom of diaphragmatic hernia. The condition primarily presents with respiratory distress due to lung underdevelopment and organ displacement.
Choice C rationale
Respiratory distress occurs due to lung compression and underdevelopment caused by abdominal organs herniating into the chest cavity. This is a primary symptom observed in diaphragmatic hernia cases.
Choice D rationale
Fecal incontinence is unrelated to diaphragmatic hernia. The condition primarily impacts respiratory function due to the displacement of abdominal organs into the thoracic cavity.
Correct Answer is C
Explanation
Choice A rationale
Respiratory depression is less common in myelomeningocele unless secondary to severe neurological anomalies. It is not the primary risk mediator in this congenital condition.
Choice B rationale
Decreased cardiac output is not directly associated with myelomeningocele. This condition primarily affects the spinal cord and surrounding tissues rather than cardiovascular function.
Choice C rationale
Infection risk is high due to exposed neural tissue, making it the most significant concern. Infection can lead to meningitis, sepsis, and neurological deterioration if not properly managed.
Choice D rationale
Neurological damage is inherent to myelomeningocele but does not act as an external risk mediator. The focus is on preventing additional risks like infections to improve outcomes.
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