Home » NCLEX » NCLEX-RN » A primipara is assessed on arrival to the postpartum unit. The nurse finds her uterus to be boggy.
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:
A. Call the physician
B. Assess her vital signs
C. Give the prescribed oxytocic drug
D. Massage her fundus
Correct Answer: D
Explanation/Reference:
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 massage. (D) Fundal massage generally restores uterine tone within a few moments and should be attempted first.
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