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Summary ATI_real_life_postpartum_hemorrhage notes
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ATI real life postpartum hemorrhageScenario
Nurse Dee is preparing to assess Ms. Hodges's uterus.
Question
Nurse Dee is preparing to assess Ms. Hodges's uterus. Which of the following images demonstrates the
technique she should use to palpate the fundus of the uterus?
Selected Option
Image of the nurse using two hands, with the upper hand over the fundus, or umbilical area, and the
lower hand supporting the lower uterine segment (Text: Nurse Dee places one hand over the umbilical
area and the other hand below the umbilical region to support the area she is palpating with the hand
above.)
Rationale
The correct position for the nurse to place her hands is above the fundus and below the lower uterine
segment just above the symphysis pubis. This allows the nurse to cradle the uterus while assessing
uterine integrity.
Scenario
Following a postpartum assessment, Nurse Dee is choosing a priority action.
Question
Nurse Dee has completed a postpartum assessment of Ms. Hodges. Which of the following is the priority
action at this time?
Selected Option
Assist Ms. Hodges to empty her bladder.
Rationale
The nurse should assist the client to empty her bladder. A distended bladder can interfere with the
ability of the uterus to contract and increase the risk of hemorrhage.
Scenario
Nurse Dee is preparing to notify the provider about Ms. Hodges's increased bleeding.
Question
Nurse Dee is preparing to notify the provider about Ms. Hodges's increased bleeding. Which of the
following laboratory tests should the nurse anticipate the provider will prescribe? (Select all that apply.)
Selected Option
Platelet Hemoglobin Hematocrit
Rationale
The nurse should anticipate the provider will order the following laboratory tests: hemoglobin, which is
an indicator of the number of RBCs and decreases during hypovolemia and hemorrhage; hematocrit,
which is the percent of RBCs in the total blood volume, and decreases during hypovolemia and
hemorrhage; platelets, which are cell fragments that facilitate blood clotting and a decrease in the
number of circulating platelets can increase a client's risk for bleeding.
Scenario
Nurse Dee reviews Dr. Lowenthal's prescriptions for pain medication for Ms. Hodges.
Question
Nurse Dee is reviewing Dr. Lowenthal's prescriptions for pain medication for Ms. Hodges. Which of the
following is the most appropriate medication to control Ms. Hodges's pain at this time?
Selected Option
Ibuprofen (Motrin) 600 mg
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