Ms. S Is Muslim and she has been in the United States for seven months. She speaks
limited English. During patient care, she expresses that she is feeling sad because
she's away from her family in Africa. What are some message that the nurse would take
to establish therapeutic communication with Miss S.
Examine and be aware of one's own socio-cultural upbringing - use a translator to give
information into or three different ways if needed - be an active listener during
interactions and her husband
What were the identifiable rest factors that indicated postpartum hemorrhage or the
patient
Second stage of labor lasting more than three hours - a 9 pound infant - birth within the
past 24 hours
Oxytocin is it ministered to patient in order to minimize Blood loss. Which of the
following measure with the nurse take to evaluate the effectiveness of oxytocin
administration
Obtain heart rate and pattern, blood pressure, and respiratory rate - check Perry pad or
amount, color, order, and consistency of lochia - determine the consistency, position,
and placement of the fundus - Assess her pain level using a scale of 0 to 10
During the fourth stage of labor patient who delivered vaginally, experiences excessive
blood loss. Which patient finding would indicate that patient is experiencing a mild
degree of shock
Capillary refill 3 1/2 seconds
Which of the following uterotonic drugs with the nurse anticipate being used after
oxytocin to manage postpartum hemorrhage
Misoprostol (cytotec)
Patient has been explained that their culture believes that beads or amulets at the
females waist. What is culturally competent measure that the nurse can provide to this
family during the event of postpartum hemorrhage
Permit the use of beads or annulate as they will allow the parents to express their
spirituality
What is the most effective and said wait for the nurse to perform fundal massage
Place one hand above the symphysis pubis and gently massage the fundus in a circular
motion with the other hand
The primary nurses and Mischel bundle assessment of a postpartum patient was that
The fundus was boggy, Elevated above the umbilicus, and deviated to the right. That
Perry pad it was saturated any softball size clot was on the linen saber. What
interventions would be carried out at this point
Flush the saline lock with .9% normal saline - weigh the Perry pad and blood clots to
know the estimated blood loss - insert a straight catheter using sterile technique
The primary nurse administers zero tonic agent in truth, and the secondary nurse is
delegated to administer pain mediation,. What is the primary reason for administering
pain medication at this time
The application or fundal massage and an IV uterotonic agent cause significant pain
from uterus muscle contraction