ATI Real Life RN Simulation Maternal Newborn - Postpartum Hemorrhage (answered)

ATI Real Life RN Simulation Maternal Newborn - Postpartum Hemorrhage (answered)-Scenario Nurse Dee is preparing to assess Ms. Hodges’s uterus. Question 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? Selected Option Image|RN_MN_2_b_ 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. Question Nurse Dee is preparing to notify the provider about Ms. Hodges’s increased bleeding. Which of the following laboratory tests should the nurse anticipate the provider will prescribe? (Select all that apply.) Selected Ordering HemoglobinHematocritPlatelets Rationale The nurse should anticipate the provider will order the following laboratory tests: hemoglobin, which is an indicator of the number of RBCs and decreases during hypovolemia and hemorrhage; hematocrit, which is the percent of RBCs in the total blood volume, and decreases during hypovolemia and hemorrhage; platelets, which are cell fragments that facilitate blood clotting and a decrease in the number of circulating platelets can increase a client’s risk for bleeding. Optimal Decision Scenario Nurse Dee reviews Dr. Lowenthal’s prescriptions for pain medication for Ms. Hodges. Question Nurse Dee is reviewing Dr. Lowenthal’s prescriptions for pain medication for Ms. Hodges. Which of the following is the most appropriate medication to control Ms. Hodges’s pain at this time? Selected Option Acetaminophen (Tylenol) 650 mg Rationale The nurse should give acetaminophen, a non-narcotic, for mild to moderate pain.