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Postpartum uterine atony

  • NCLEX-RN
  • Health Promotion and Maintenance
  • Bow-tie
  • Difficulty 3 of 5

Question

Complete the diagram by choosing the condition the client is most likely experiencing, 2 actions to take and 2 parameters to monitor.

Actions to takeSelect 2

  • Begin fundal massage✓ Correct
  • Initiate the facility hemorrhage protocol✓ Correct
  • Wait for the uterus to firm without intervention✗ Incorrect
  • Avoid touching the fundus✗ Incorrect

Condition most likely experiencingSelect 1

  • Uterine atony✓ Correct
  • Mastitis✗ Incorrect
  • Urinary tract infection✗ Incorrect
  • Eclampsia✗ Incorrect

Parameters to monitorSelect 2

  • Uterine tone✓ Correct
  • Amount of vaginal bleeding✓ Correct
  • Visual acuity✗ Incorrect
  • Breast milk volume✗ Incorrect

Answer

Actions to take: Begin fundal massage; Initiate the facility hemorrhage protocol · Condition most likely experiencing: Uterine atony · Parameters to monitor: Uterine tone; Amount of vaginal bleeding

Rationale

A soft uterus with heavy bleeding suggests inadequate uterine contraction. Prompt massage and the facility protocol address the bleeding while the nurse reassesses the uterus and blood loss.

RememberA soft uterus with heavy postpartum bleeding requires prompt action.

Sources

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