Difficulty: Medium
Average Score: 90%
Full-length
The nurse is caring for a client immediately after a vaginal birth. The nurse notes that the clientÔÇÖs uterus is midline and boggy. Which of the following actions should the nurse take first?
Correct answer
A
Rationale
A boggy uterus indicates uterine atony, a major cause of postpartum hemorrhage. Fundal massage is the first action to stimulate contractions and expel clots. Adjusting oxytocin, checking vitals, or looking for blood are secondary after initiating massage.