The Charge Nurse Is Reviewing the Plan of Care for Maternal

The charge nurse is reviewing the plan of care for maternal patients currently admitted for postpartum care. During the course of her chart review, which intervention requires immediate consideration for revision?

A) Daily prothrombin time (PT) measurements for coagulation assessment in a woman receiving heparin for treatment of thrombophlebitis.
B) Use of the REEDA scale for assessment every 8 hours in the care of a patient diagnosed with puerperal infection.
C) Misoprostol (Cytotec) administration to a patient who demonstrates uterine atony and bleeding after receiving oxytocic medications.
D) Inserting a straight catheter to drain the overdistended bladder of a woman during the early postpartum period of her care.