A nurse is caring for a client.Which of the following interventions should the nurse perform? (Click on the exhibit tabs for additional information about the client.There are three tabs that contain separate categories of data.)
Explanation & Rationale
Choice A rationaleInspecting the perineum does not address uterine atony, which is the leading cause of postpartum hemorrhage. Interventions should focus on uterine contraction to minimize bleeding.Choice B rationaleMassaging the fundus stimulates uterine contractions, reducing uterine atony and preventing further hemorrhage. This is a first-line intervention for postpartum excessive bleeding.Choice C rationaleAdministering oxytocin enhances uterine contractions and is effective in managing hemorrhage. However, fundal massage is prioritized initially to assess uterine tone and response.Choice D rationaleAssisting the client to void helps empty the bladder, which may improve uterine contraction. However, fundal massage is the most immediate measure to prevent further bleeding.