During the postpartum assessment, the perinatal nurse notes that a patient who has just experienced a forceps-assisted birth now has a large amount of bright red vaginal bleeding. Her uterine fundus is firm
The most appropriate action by the nurse is to collaborate with the health-care provider in which activity?
A.
Bladder assessment and catheterization
B.
Preparing the woman for a hysterectomy
C.
Uterine massage and oxytocin infusion
D.
Vaginal assessment and repair
ANS: D
A forceps-assisted birth is one in which a steel instrument with two curved blades is used to facilitate the birth of the infant's head. Perineal trauma is one of the major complications associated with the use of forceps. Because hemorrhage (bright red bleeding) may result from cervical lacerations and vaginal tearing, the woman requires close observation during the postpartum period. If this occurs, the care provider should be notified regarding a potential vaginal repair. The other actions are not warranted.
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