A nurse is preparing to perform a fundal massage for a postpartum client who is experiencing uterine atony. In which order should the nurse plan to perform the following actions?

Ask the client to lie on her back and with her knees ﬂexed.

Position one hand around the top of the client's fundus and one hand just above the client's symphysis pubis.

Rotate the upper hand to massage the client's uterus while using slight downward pressure to compress the fundus.

Observe the client's perineum for the passage of clots and the amount of bleeding.

Answer and Explanation

The Correct Answer is A, B, C, D

The correct answer is A, B, C, D.

The nurse should plan to perform the following actions in this order:
A.   Ask the client to lie on her back and with her knees ﬂexed.
B.   Position one hand around the top of the client’s fundus and one hand just above the client’s symphysis pubis.
C.   Rotate the upper hand to massage the client’s uterus while using slight downward pressure to compress the fundus.
D.   Observe the client’s perineum for the passage of clots and the amount of
bleeding.
Fundal massage is performed to stimulate uterine contractions and prevent
postpartum hemorrhage.

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Correct Answer is C

Explanation

Yellow exudate will form at the surgical site in 24 hours.

After a Plastibell circumcision, the penis might develop a yellow-ish discharge which is a normal side eﬀect that should go away in a few days.

Choice A is incorrect because the foreskin may darken around the ring while it remains on the penis until it falls oﬀ naturally in 7-10 days.

Choice B is incorrect because the plastic ring remains on the penis until foreskin falls oﬀ naturally in 7-10 days.

Choice D is incorrect because there is no information found that suggests making sure the newborn’s diaper is snug after a Plastibell circumcision.

A. "This medication stabilizes the fetal heart rate." B. "This medication improves tissue perfusion." C. "This medication prevents seizures." D. "This medication increases cardiac output.”

Correct Answer is C

Explanation

“This medication prevents seizures.” Magnesium sulfate is a mineral that is given intravenously to women with preeclampsia to reduce the risk of seizures or eclampsia.

Preeclampsia is a condition of high blood pressure and protein in the urine during pregnancy.

Choice A is incorrect because magnesium sulfate does not stabilize the fetal heart rate.

Choice B is incorrect because magnesium sulfate does not improve tissue perfusion.

Choice D is incorrect because magnesium sulfate does not increase cardiac output.

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A nurse is preparing to perform a fundal massage for a postpartum client who is experiencing uterine atony. In which order should the nurse plan to perform the following actions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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