To monitor for potential hemorrhage in the client who has just had a cesarean birth, which action should the recovery room nurse implement?
a. Monitor her urinary output.
b. Maintain an intravenous infusion at 1 mL/hr.
c. Assess the abdominal dressings for drainage.
d. Assess the uterus for firmness every 15 minutes.
ANS: D
Maintaining contraction of the uterus is important for controlling bleeding from the placental site. Maintaining proper fluid balance will not control hemorrhage. Monitoring urine output is an important assessment, but hemorrhage will first be noted vaginally. Assessing the abdominal dressing is an important assessment to prevent future hemorrhaging from occurring but is not the first priority assessment in the recovery room.
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