1. A nurse is caring for a client who has uterine atony and is

experiencing postpartum hemorrhage. Which ofthe following

actions is the nurse’s priority?

• Massage the client’s fundus

Uterine atony and postpartum hmorrhage indicate that thisclient is at the

greatest risk for hypovolemic shock. This can compromise the client’s vital

organs, which can lead todeath. Therefore, the nurse’s priority isto massage

the client’s fundus to minimize blood loss.

2. A nurse is caring for a client who is to receive oxytocin to

augment her labor. Which of the following findings

contraindicatesthe initiation ofthe oxytocin infusion and

shouldbe reported to the provider?

• Late decelerations

Late decelerations are indicative of uteroplacental insufficiency. Therefore,

thisis a contraindication for theadministration of oxytocin and should be

reported to theprovider.

3. A nurse is assessing a client who has severe preeclampsia. Which

of the following manifestations should the nurse expect?

• Blurred vision

The nurse should identify that a client who has severe preeclampsia can

have arteriolar vasospasms and decreased blood flow to the retina which

can lead to visualdisturbances,such as blurred vision, double vision, or dark

spots in the visual field.

4. A nurse is assessing a client who is 1 day-postpartum and has a

vaginal hematoma. Which of the following manifestation

shouldthe nurse expect?

• Vaginal pressure

• The nurse should expect a client who has a vaginal

hematoma to report pressure in the vagina due to the

blood that leaked into the tissues.

5. A nurse is caring for a client who is at 36 weeks of gestation and

has a positive contraction stress test. The nurse should plan to

prepare the client for which of the following diagnostic tests?