Difficulty: Medium
Average Score: 82%
Full-length
The nurse is caring for a client who had a forceps-assisted vaginal birth and is reporting severe vaginal pain and fullness. The nurse notes the fundus is firm and midline with a scant amount of lochia rubra. The client is most likely experiencing
Correct answer
B
Rationale
Severe vaginal pain and fullness with a firm fundus and scant lochia suggest a vaginal hematoma (B). Uterine atony (A) causes heavy bleeding, cervical lacerations (C) cause bleeding, and uterine inversion (D) involves a displaced fundus.