ATI RN VATI Maternal Newborn Proctored Exam
A nurse is assessing a client who is 6 hr postpartum, tachycardic, and has cool skin.The client reports that they have been bleeding excessively.Which of the following actions should the nurse take?
Explanation & Rationale
Choice A rationaleElevating the head of the client’s bed is not indicated in this situation and does not address the issue of excessive bleeding postpartum.Choice B rationaleAdministering terbutaline, a medication used to manage preterm labor, is not relevant in the context of postpartum hemorrhage and excessive bleeding.Choice C rationaleInitiating oxygen at 2 L/min via nasal cannula may help with oxygenation but does not address the primary issue of excessive postpartum bleeding.Choice D rationaleInitiating an infusion of oxytocin is the correct action as it helps contract the uterus and reduce postpartum bleeding, making it a crucial step in managing this situation.
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