Difficulty: Medium
Average Score: 85%
Simulated
Passage / Scenario
A client who is 4 hr postpartum, uterus not firmA nurse is assisting in the care of a client who is 4 hr postpartum. Which of the following interventions should the nurse perform after finding that the client's uterus is not firm? (Select all that apply.)
Correct answer
A,B
Rationale
A boggy (non-firm) uterus is abnormal and can lead to postpartum hemorrhage. Emptying the bladder relieves uterine displacement, and fundal massage stimulates contractions to firm the uterus. Doing nothing, ambulating, or giving pain meds does not address uterine atony.