Which of the following nursing actions are important in the care of a postpartum woman who is at risk for orthostatic hypotension? (Select all that apply.)
a. Have patient remain in bed for the first 4 hours postbirth.
b. Instruct patient to slowly rise to a standing position.
c. Open an ammonia ampule and have the patient smell the ammonia prior to getting out of bed.
d. Explain to the patient the cause and incidence of orthostatic hypotension.
ANS: b, d
Postpartum women are at risk for orthostatic hypotension during the first few hours postdelivery. Orthostatic hypotension is a sudden drop in the blood pressure when the woman stands up due to decreased vascular resistance in the pelvis. The woman should be instructed to sit on the edge of her bed for a few minutes and then slowly stand up. The nurse or aide should be with the woman the first few times she ambulates. Ammonia ampules are used when the woman faints and is not given prior to fainting.
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