Difficulty: Medium
Average Score: 79%
Simulated
Passage / Scenario
A nurse is caring for a client who had a vaginal delivery 2 hours ago.Which of the following actions should the nurse anticipate in the care of this client? (Select all that apply.)
Correct answer
A, C, E
Rationale
Observing lochia assesses bleeding, determining fundus position ensures proper uterine contraction, and administering methylergonovine maleate may be needed for a boggy uterus. Massaging a firm fundus and documenting fundal height are not typically required.