(from search results) A nurse discovers a postpartum client with a boggy uterus, displaced above the right of the umbilicus.
What nursing action is indicated?
Perform immediate fundal massage
Ambulate to the bathroom or use bedpan to empty bladder
Administer oxytocin as prescribed
D. Both A and B.
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
The correct answer is choices A, B and C.These are three signs of positive bonding between parents and newborn.
Calling infant by name shows recognition and affection.
Exploration of newborn head-to-toe shows curiosity and interest.
In face position shows eye contact and communication.
Choice D is wrong because avoiding eye contact with newborn is a sign of detachment or depression.Choice E is wrong because holding newborn close to chest may prevent eye contact and facial expressions.
Positive bonding is essential for a baby’s healthy development and attachment.
It makes parents want to shower their baby with love and care, and it makes babies feel secure and confident.Bonding can happen at any time, but it usually starts right after birth or adoption.
Correct Answer is B
Explanation
The correct answer is choice B. Palpate fundus.The nurse should first assess the tone of the uterus by palpating the fundus, as uterine atony is the most common cause of postpartum hemorrhage.
If the uterus is boggy or soft, the nurse should massage it gently until it becomes firm and contracts.
This will help control the bleeding from the placental site.
Choice A is wrong because assessing vital signs is not the first priority in this situation.Vital signs may not reflect the severity of blood loss until late in the process of hemorrhage.
The nurse should monitor vital signs after ensuring that the uterus is contracted.
Choice C is wrong because administering oxytocin as prescribed is not the first action the nurse should take.
Oxytocin is a medication that stimulates uterine contractions and reduces bleeding, but it should be given
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