A nurse is caring for a client who has postpartum endometritis and is receiving IV antibiotics.

Which of the following findings indicates that the treatment is effective? A) Decreased vaginal bleeding.

The correct answer is B. Palpate fundus.

The nurse should first assess the fundus to determine if it is firm and at the expected level of involution.

A boggy or displaced fundus can indicate uterine atony, which is the most common cause of postpartum hemorrhage.

By massaging the fundus, the nurse can stimulate uterine contractions and reduce bleeding.

A. Assess vital signs.

This statement is wrong because assessing vital signs is not the first action the nurse should take.

Vital signs can indicate the severity of blood loss and shock, but they do not address the cause of bleeding.

C. Administer oxytocin as prescribed.

This statement is wrong because administering oxytocin is not the first action the nurse should take.

Oxytocin is a medication that can enhance uterine contractions and reduce bleeding, but it should be given after assessing and massaging the fundus.

D. Check perineal pad.

This statement is wrong because checking perineal pad is not the first action the nurse should take.

Checking perineal pad can help estimate the amount of blood loss, but it does not address the cause of bleeding.

The correct answer is choice D. Both A and B.A boggy uterus is a uterus that is enlarged, soft, and tender due to the failure of the uterus to contract sufficiently after delivery.This condition is called uterine atony and it is the most common cause of postpartum hemorrhage.Postpartum hemorrhage is excessive bleeding after childbirth that can lead to shock and death if not treated promptly.

The nursing actions indicated for a boggy uterus are:

• Perform immediate fundal massage: This helps to stimulate uterine contractions and reduce bleeding.

• Ambulate to the bathroom or use bedpan to empty bladder: This helps to reduce bladder distension and allow the uterus to contract and descend into the pelvis.

Choice A is partially correct but not sufficient by itself.

Choice B is also partially correct but not sufficient by itself.Choice C is incorrect because administering oxytocin alone may not be effective in restoring uterine tone if there are other factors contributing to uterine atony, such as overdistension, prolonged labor, or infection.Oxytocin is a hormone that stimulates uterine contractions.