A multiparous patient is admitted to the postpartum unit after a rapid labor and birth of a 4000g infant. Her fundus is boggy, lochia is heavy, and vital signs are unchanged. The nurse has the patient void and massages her fundus; however, the fundus remains difficult to find and the rubra lochia remains heavy. Which action should the nurse take next?

Correct Answer: C

Rationale: The correct answer is C because treatment of excessive bleeding requires collaboration with the healthcare provider, especially in cases of persistent heavy bleeding and boggy fundus. Choices A, B, and D are incorrect as they do not address the need for further medical intervention in this situation. It is crucial to involve the healthcare provider promptly to ensure appropriate management of the patient's condition.

Correct Answer: D

Rationale: Carboprost tromethamine (Hemabate) can potentially cause pulmonary edema as an adverse effect. Therefore, frequent assessment of breath sounds is crucial to detect this complication. Monitoring temperature, lochial flow, and fundal height will not provide information about potential adverse effects of the medication.

Correct Answer: D

Rationale: The correct action if a DVT is suspected is to place the patient on bed rest with the affected leg elevated to decrease swelling and promote venous return. Performing a Homans sign, dorsiflexing the foot, and palpating the leg are contraindicated as they may dislodge the DVT and result in a pulmonary embolism.

Correct Answer: B

Rationale: Pressure in fetal circulation is greatest in the right atrium, allowing right-to-left shunting to bypass the lungs during intrauterine life. The pressure increases in the left atrium after birth. The liver does not filter blood during fetal life until the end. Blood bypasses the pulmonary vein during fetal life.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.