A primary nursing responsibility when caring for a woman experiencing an obstetric he-morrhage associated with uterine atony is to:
a. Establish venous access.
b. Perform fundal massage.
c. Prepare the woman for surgical intervention.
d. Catheterize the bladder.
B
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A Although this may be a necessary intervention, the initial intervention would be fundal massage.
B The initial management of excessive postpartum bleeding is firm massage of the uterine fundus.
C The woman may need surgical intervention to treat her postpartum hemorrhage, but the initial nursing intervention would be to assess the uterus.
D After uterine massage, the nurse may want to catheterize the patient to eliminate any bladder distention that may be preventing the uterus from contracting prop-erly.
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