Difficulty: Medium
Average Score: 75%
Simulated
Passage / Scenario
A patient who experienced a vaginal birth 3 hours ago, fundus displaced to the right, firm, two fingerbreadths above the umbilicusWhat actions should the nurse complete at this time?
Correct answer
C
Rationale
A displaced, firm fundus suggests a full bladder; having the patient urinate corrects displacement. Catheterization, massage, and analgesics are unnecessary with a firm fundus.