More Questions on this Topic
More Questions on this Topic ( 24 Questions)
A nurse is caring for a client who delivered vaginally 4 hours ago and has a boggy uterus that is displaced to the right of midline.
Which of the following actions should the nurse take first?
Applying ice packs to the perineum may help reduce swelling and pain, but it will not address the underlying cause of the boggy uterus.
This is because a boggy uterus that is displaced to the right of midline indicates that the bladder is full and pushing the uterus out of place. A full bladder can prevent the uterus from contracting effectively after delivery, leading to excessive bleeding and postpartum hemorrhage (PPH).
Normal ranges for uterine size and position after delivery are:
• Immediately after delivery: at or slightly below the level of the umbilicus (navel)
• 6 hours after delivery: 1 fingerbreadth above the umbilicus
• 12 hours
Increasing the rate of IV fluids may worsen the bleeding by diluting the blood and reducing its clotting ability.
Administering carboprost, a medication that stimulates uterine contractions, may be indicated if other measures fail to restore uterine tone, but it is not the first action to take. Carboprost also has side effects such as fever, nausea, vomiting, and diarrhea .
This is because a boggy uterus that is displaced to the right of midline indicates that the bladder is full and pushing the uterus out of place. A full bladder can prevent the uterus from contracting effectively after delivery, leading to excessive bleeding and postpartum hemorrhage (PPH) .
Emptying the bladder can help the uterus return to its normal position and tone.
Choice A is wrong because applying ice packs to the perineum may help reduce swelling and pain, but it will not address the underlying cause of the boggy uterus.
Choice C is wrong because increasing the rate of IV fluids may worsen the bleeding by diluting the blood and reducing its clotting ability.
Choice D is wrong because administering carboprost, a medication that stimulates uterine contractions, may be indicated if other measures fail to restore uterine tone, but it is not the first action to take. Carboprost also has side effects such as fever, nausea, vomiting, and diarrhea .
Normal ranges for uterine size and position after delivery are:
• Immediately after delivery: at or slightly below the level of the umbilicus (navel)
• 6 hours after delivery: 1 fingerbreadth above the umbilicus
• 12 hours