Difficulty: Medium
Average Score: 62%
Simulated
During the first hour after delivery, assessment of a multiparous client who delivered a neonate weighing 4,593 g (10 lb, 2 oz) by cesarean delivery reveals a soft fundus with excessive lochia rubra. The nurse should include which of the following in the client's plan of care?
Correct answer
A
Rationale
A soft fundus and excessive lochia suggest uterine atony, which is treated with oxytocin to promote uterine contraction.