Difficulty: Medium
Average Score: 91%
Simulated
Passage / Scenario
A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period.Which of the following is the priority nursing intervention at this time?
Correct answer
C
Rationale
Excessive bleeding suggests uterine atony; palpating the fundus assesses uterine tone, guiding interventions to prevent hemorrhage.