A nurse is caring for a postpartum person who is at risk for uterine atony. What is the most important intervention to prevent uterine atony?

Correct Answer: B

Rationale: The correct answer is B: perform fundal massage. Fundal massage helps stimulate uterine contractions and prevents uterine atony by promoting uterine firmness and reducing the risk of excessive bleeding. It is a non-invasive intervention that can be done immediately after delivery to prevent postpartum hemorrhage. Administering uterotonic medications (Choice A) may be necessary in severe cases but fundal massage is the initial intervention. Performing a vaginal exam (Choice C) is not indicated unless there are specific concerns or indications. Monitoring vital signs (Choice D) is important but addressing uterine atony requires more direct intervention like fundal massage.

Correct Answer: A

Rationale: The correct answer is A: monitor fetal heart rate. During the first stage of labor, assessing the fetal heart rate is crucial to ensure the well-being of the baby. It helps detect any signs of distress or complications early on. Monitoring the mother's health is also important, but ensuring the baby's safety takes precedence. Assessing cervical dilation (B) is important but not the priority in the early stage. Assisting with positioning (C) can help progress labor but is secondary to monitoring fetal well-being. Administering an epidural (D) is not a priority assessment but a pain management intervention.

Correct Answer: B

Rationale: The correct answer is B: offer pain relief. Providing pain relief is crucial in preventing nipple trauma as it can help the postpartum person tolerate any discomfort associated with breastfeeding, thereby reducing the likelihood of damage to the nipples. Assisting with breastfeeding positioning (choice A) is important but not as critical as pain relief. Applying a cold compress (choice C) may help with inflammation but does not directly address the pain during breastfeeding. Monitoring contractions (choice D) is unrelated to preventing nipple trauma. Ultimately, addressing pain relief is the most effective intervention in ensuring successful and comfortable breastfeeding, thus preventing nipple trauma.

Correct Answer: A

Rationale: The correct answer is A: ensure informed consent is signed. Before any procedure, obtaining informed consent is essential to ensure the laboring person understands the risks, benefits, and alternatives of the epidural. This helps promote autonomy and respect for the individual's decision-making. Administering pain medication (choice B), IV fluids (choice C), or an analgesic (choice D) without informed consent is not ethical and violates the principle of autonomy. The focus should be on providing comprehensive information and obtaining consent before proceeding with the intervention.

Correct Answer: A

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