ATI Real Life hemmorhage module ODoherty, Postpartum Hemorrhage

ATI Real Life hemmorhage module ODoherty, Postpartum Hemorrhage-Nurse Dee is preparing to assess Ms. Hodges’s uterus. 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? 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. Optimal Decision 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. Optimal Decision Scenario Nurse Dee is preparing to notify the provider about Ms. Hodges’s increased bleeding.