MEDizzy - The nurse is checking the fundus of a postpartum woman and

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Integrated Process II

The nurse is checking the fundus of a postpartum woman and notes that the uterus is soft and spongy. Which nursing action is appropriate initially?

ExplanationIf the fundus is boggy (soft), it should be massaged gently until it is firm and the client is observed for increased bleeding or clots. Option 1 is an inappropriate action at this time. The nurse should document the fundal position, consistency, and height; the need to perform fundal massage; and the client’s response to the intervention. The primary health care provider will need to be notified if uterine massage is not helpful.