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A multiparous woman is admitted to the postpartum unit after a rapid labor and birth of a 4000-
g infant. Her fundus is boggy, lochia is heavy, and vital signs are unchanged. The nurse has the
woman void and massages her fundus, but the patient's fundus remains difficult to find and the
lochia remains bright red and heavy. Which action would the nurse take next? - ✔✔✔-b. Notify
the health care provider
A nurse is caring for the following labor patients. Which patients would the nurse be prepared
to monitor closely for signs of postpartum hemorrhage (PPH)? - ✔✔✔-b. G2 P1001, delivered a
4200-g neonate vaginally after 4 hours of labor
d. G4 P3003, delivered a 3500-g neonate by cesarean section with a placenta accreta
e. G3 P0200, delivered a 3900-g neonate vaginally after 36 hours in labor
A woman delivered a 9-lb, 10-oz baby 1 hour ago. When the nurse arrives to perform the 15-
minute assessment, the patient says that she "feels all wet underneath." The nurse discovers
that both perineal pads are completely saturated and that the patient is lying in a 6-inch-
diameter puddle of blood. After calling for help, which action would the nurse take next? -
✔✔✔-a. Assess the fundus for firmness.
A woman, 1 day postpartum, is being carefully monitored after a significant postpartum
hemorrhage (PPH). Which finding would the nurse report to the health care provider? - ✔✔✔-
a. Urine output of 160 mL for the past 8 hours
On assessment, the postpartum nurse notes a firm fundus, bright red blood oozing from the
vagina, and a saturated perineal pad. What diagnosis would the nurse expect based on these
assessment findings? - ✔✔✔-c. Vaginal laceration
The nurse recognizes that a steady trickle of bright red blood from the vagina in the presence of
a firm fundus may indicate which condition? - ✔✔✔-d. A laceration within the genital tract