A primipara is under nursing care during the first hour after a vaginal delivery of a viable neonate under lumbar epidural anesthesia and intravenous fluids. The client has a pulse rate of 65 bpm, temperature of 99.9°F (37.7℃), fundus firm at one finger breath above the midline, and a slow trickle of dark red vaginal bleeding on the perineal pad. The client’s legs are still somewhat numb. What should the nurse do
A. Discontinue the client’s intravenous fluids if the client is drinking fluids.
B. Notify the anesthesiologist who performed the lumbar epidural anesthesia.
C. Massage the fundus and contact the client’s physician immediately.
D. Continue to monitor the client’s temperature on an hourly basis.
参考答案：C
解析：A slow, dark-red trickle of blood after a delivery is a symptom of postpartum hemorrhage; it should be reported and treated immediately. If the cause is due to uterine atony, the nurse should gently massage the fundus, call for assistance, and prepare to administer oxytocic drugs. If the cause is due to massive blood clots in the uterus, the client may need to have the clots manually extracted.