To monitor for potential hemorrhage in the woman who has just had a cesarean birth, the recovery room nurse should
a. Maintain an intravenous infusion at 100 mL/hr.
b. Assess the abdominal dressings for drainage.
c. Assess the uterus for firmness every 15 minutes.
d. Monitor her urinary output.
C
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A Maintaining proper fluid balance will not control hemorrhage.
B This is an important assessment, but hemorrhage will first be noted vaginally.
C Maintaining contraction of the uterus is important in controlling bleeding from
the placental site.
D This is an important assessment to prevent future hemorrhaging from occurring,
but it is not the first priority assessment in the recovery room.
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