You are required to administer 3,800 units of Heparin sodium dose subcutaneously (SQ) to a mother.

The pharmacy sends a 10,000 units in a 5ml vial.

How many mls will the nurse administer?

Choice A rationale

Placing the patient in a Trendelenburg position is not the immediate priority. This position is often used to manage shock or to improve blood flow to the brain, but it does not directly address the cause of heavy lochia. It may not be the most effective first intervention in this situation.

Choice B rationale

Notifying the physician is important, but the nurse should first attempt to control the bleeding. The physician can be notified after initial measures to stop the bleeding are taken. Immediate intervention by the nurse is crucial in this scenario to stabilize the patient.

Choice C rationale

Administering Methylergonovine can help control postpartum hemorrhage, but this should be done after attempting non-pharmacological measures like fundal massage. Methylergonovine can have side effects and should be used with caution.

Choice D rationale

Massaging the fundus until it is firm is the immediate priority. This can help expel clots and stimulate uterine contraction, which can reduce bleeding. It is a direct and immediate intervention to address the heavy lochia.

Choice A rationale

Breast milk typically "comes in" within 3 to 5 days postpartum due to hormonal changes, particularly the increase in prolactin and decrease in progesterone.

Choice B rationale

Breast milk usually does not come in within 2 days postpartum because the hormonal changes required take a bit more time to occur.

Choice C rationale

Breast milk coming in around 10 days postpartum is later than usual and may indicate a delay or complication in lactation.

Choice D rationale

Breast milk coming in 6 to 8 days postpartum is somewhat later than the typical 3 to 5 day range, potentially indicating a minor delay in lactation.