The nurse is caring for a postpartum patient who is at risk for developing early postpartum hemorrhage
What interventions would be included in the plan of care to detect this complication? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Weigh perineal pads if the patient has a slow, steady, free flow of blood from the vagina.
2. Massage the uterus every 2 hours.
3. Maintain vascular access.
4. Obtain blood specimens for hemoglobin and hematocrit.
5. Encourage the patient to void if the fundus is displaced upward or to one side.
1,4
Rationale 1: Weighing the perineal pads will indicate whether the patient is bleeding more than anticipated.
Rationale 2: This intervention will help prevent hemorrhage if done when the nurse detects a boggy uterus.
Rationale 3: This intervention should be done if the assessments are not reassuring.
Rationale 4: The nurse reviews these findings when available, and compares them to the admission baseline.
Rationale 5: This is necessary to empty the bladder, but will not detect excess bleeding.
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