Difficulty: Medium
Average Score: 85%
Simulated
Passage / Scenario
Client AA, 25-year-old G5P3, 0800, HR 102, BP 100/50, T 99.8, fundus 1 cm above umbilicus, firm, lochia rubra heavy with clots, history of preeclampsia and gestational diabetes.The nursing priority is to
Correct answer
A
Rationale
Heavy lochia with clots indicates potential postpartum hemorrhage; fundal massage is critical to promote uterine contraction and control bleeding.