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    Ati Maternal Newborn Proctored Exam

    A 25 year-old woman gave birth to her second child 6 hours ago. She informs the nurse that she is bleeding more than with her previous birth experience. The initial nursing action is to:

    Explanation & Rationale

    A. Correct. The priority is to assess the fundus for firmness and location. Uterine atony is a common cause of postpartum hemorrhage and requires immediate assessment and intervention. B. Incorrect. Increased bleeding in a multiparous client should not be dismissed as normal without assessment. C. Incorrect. Administering Pitocin may be appropriate but should follow an assessment of the fundus first. D. Incorrect. Waiting an hour without assessing the fundus could delay necessary interventions for postpartum hemorrhage.

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