A primipara is assessed on arrival to the postpartum unit. The nurse finds her uterus to be boggy. The nurse's first action should be to:

Question

Options

• ACall the physician
• BAssess her vital signs
• CGive the prescribed oxytocic drug
• DMassage her fundus

• A
  5% (1)
• B
  5% (1)
• C
  15% (3)
• D
  75% (15)

Explanation

(A) The nurse should first implement independent and dependent measures to achieve uterine tone before calling the physician. (B) Assessment of vital signs will not help to restore uterine atony, which is the priority need. (C) Giving a prescribed oxytocic drug would be necessary ifthe uterus did not maintain tone with (D) Fundal massage generally restores uterine tone within a few moments and should be attempted first.

No community discussion yet for this question.