Forty-five minutes after delivery, a woman tells the nurse that she thinks she is bleeding. The nurse observes a steady trickle of vaginal bleeding. The first nursing action should be to:
a. Reassure the woman that this is normal after delivery.
b. Check the blood pressure and pulse.
c. Immediately notify the physician.
d. Massage the uterus.
ANS: D
Massage causes the uterine muscles to contract, which clamps down on the open blood vessels to prevent bleeding. The nurse would then obtain vital signs and notify the physician if needed.
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