The patient delivered 30 minutes ago. Her blood pressure and pulse are stable. Vaginal bleeding is scant. The nurse should prepare for which procedure?
1. Abdominal hysterectomy
2. Manual removal of the placenta
3. Repair of perineal lacerations
4. Foley catheterization
2
Rationale 1: Abdominal hysterectomy is not required.
Rationale 2: Retained placenta is the lack of placental delivery within 30 minutes of birth. Manual removal of the placenta is then performed.
Rationale 3: Repair of perineal lacerations would not ensue until after the placenta was delivered.
Rationale 4: There is no indication of urinary retention that requires a Foley catheter.
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