Postpartum OB

Question 1 of 25 Prior to discontinuing the IV oxytocin (Pitocin), which assessment is most important for the nurse to obtain? Vital signs. Vital sign assessment is important prior to discontinuing the Lactated Ringer's because the primary IV contributes to the maintenance of cardiovascular stability, but this is not the first priority. Vaginal discharge. Expulsion of minimal bright red vaginal discharge is normal after delivery. It is difficult for the nurse to ascertain client stability merely by assessing the vaginal discharge and estimating amounts of vaginal blood loss. Copious amounts of vaginal discharge and a boggy fundus indicate the need more in-depth assessment. Uterine firmness. Oxytocin (Pitocin) is a hormone used to stimulate uterine contractions and prevent hemorrhage from the placental site. Prior to discontinuing the IV, it is most important to ensure that the uterus is contracting by assessing fundal firmness. Oral intake. Assessment of oral fluid intake is important when determining if additional IV fluids are indicated, but it is not the first priority. Submit Question 2 of 25 Marie has minimal sensation in her lower extremities, due to the effects of the epidural anesthesia. What is the priority nursing diagnosis for Marie, who is experiencing residual effects of epidural anesthesia? Risk for injury. Epidural anesthesia causes temporary loss of voluntary movement and muscle strength in the lower extremities. Serious injury could be incurred if Marie attempts to get out of bed on her own because her legs will be unable to sustain her weight. The nursing priority is to ensure her safety by implementing use of two side-rails and instructing her to not get out of bed for the first time without assistance. Impaired physical mobility. Marie's impaired physical mobility is temporary and is not likely to cause complications resulting in longterm immobility. Altered urinary elimination. This study source was downloaded by from CourseH on 08-30-2021 02:54:52 GMT -05:00 This study resource was shared via CourseH