Question

What 6 actions should the nurse take for a patient experiencing postpartum hemorrhage?

a) firmly massage the uterine fundus
b) provide emotional support
c) administer methylergonovine
d) weigh the perineal pads
e) administer oxygen
f) inserting an indwelling urinary catheter

Answer 1

In response to postpartum hemorrhage, a nurse should massage the uterine fundus, provide emotional support, administer methylergonovine, weigh perineal pads, provide oxygen, and consider urinary catheter insertion.

Step-by-step explanation:

Actions for Managing Postpartum Hemorrhage

In the scenario of a patient experiencing postpartum hemorrhage, a nurse should take several critical actions to manage the situation effectively. Here are six recommended actions:

1. Firmly massage the uterine fundus to encourage contraction, reducing bleeding.
2. Provide emotional support to the patient, as postpartum hemorrhage can be traumatic.
3. Administer medications such as methylergonovine to promote uterine contraction and decrease blood loss.
4. Weigh the perineal pads to accurately monitor the amount of blood loss.
5. Administer oxygen if needed, to maintain adequate oxygen saturation.
6. Consider inserting an indwelling urinary catheter to monitor fluid balance and ensure bladder decompression, which can facilitate better uterine contraction.

Immediate and effective intervention is essential in treating postpartum hemorrhage to improve patient outcomes and minimize complications.