NREMT EMR First Responder

Category - Special Patient Populations

Care for a newly delivered baby and mother include all of the following except?
  1. Placing an absorbent pad over the vaginal opening to help absorb the small amount of vaginal bleeding that is typical
  2. Allowing the baby to nurse
  3. Massaging the mother’s uterus via the abdomen in an effort to limit excess bleeding
  4. Packing the vaginal cavity with absorbent sponges to keep the mother from bleeding too much through the vagina
  5. All of the above
Explanation
Answer: D - Packing the vaginal cavity is not recommended. While the EMR needs to be observant for signs of excessive post-delivery bleeding, this is not typical. Furthermore, some bleeding is always present after a baby is delivered vaginally. The EMR should place an absorbent pad in the vaginal area and the number of pads used should be noted to help identify if excess bleeding is present.
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