A woman had an amniotomy 1 hour ago. Now she is complaining of uterine tenderness. What action by the nurse is most appropriate?
A.
Increase the IV infusion rate.
B.
Notify the health-care provider.
C.
Perform a vaginal examination.
D.
Take the woman's temperature.
ANS: D
An amniotomy is an invasive procedure that carries the risk of infection. Maternal temperature should be assessed at least every 2 hours afterward. Other signs of infection include uterine tenderness, chills, foul-smelling vaginal discharge, and fetal tachycardia. The nurse should first assess the woman's temperature (and assess for other signs of infection) and then notify the health-care provider. The other two options would not be indicated at this time.
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