1) One hour after giving birth to

1) One hour after giving birth to a 9-lb infant, a client’s lochia rubra has increased from small to large and her fundus is boggy despite massage. The client’s pulse is 84 bpm, BP is 156/95. The healthcare provider prescribes Methergine 0.2 gm IM X 1. What action should the nurse take immediately? a. Give the medication as prescribed and monitor for efficacy b. Encourage the client to breastfeed rather than bottle feed c. Have the client empty her bladder and massage the fundus d. Call the healthcare provider and the medication order 2) A charge nurse, two staff nurses, and a clinical partner (nursing assistant) are caring for a patient during a postpartum hemorrhage. Which task is best delegated to the clinical partner (nursing assistant) during this crisis? a. Massaging the patient’s fundus b. Starting an IV c. Obtaining vital signs and O2 sats d. Start O2 per nasal cannula 3) After the initial postpartum assessment, the nurse finds her patient lying on her back in a pool of vaginal blood, with the sheet beneath her saturated with blood. What is the priority nursing action? a. Massage the fundus b. Take vital signs c. Increase the IV rate d. Check the bladder 4) A nurse is caring for a postpartum woman who has received epidural anesthesia and is monitoring the woman for the presence of a vulvular hematoma. Which of the following assessment findings would the nurse assess for? a. Complaints of a tearing sensation b. Complaints of intense pain c. Changes in vital signs d. Signs of heavy bruising

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