More Questions on this Topic
More Questions on this Topic ( 24 Questions)
A nurse is performing fundal massage for a client who has uterine atony and postpartum hemorrhage.
Which of the following actions should the nurse take when performing this procedure?
Use one hand to stabilize the lower uterine segment while massaging the fundus with the other hand.
This action prevents the uterus from inverting and reduces the risk of trauma to the cervix and vagina.
The nurse should also monitor the amount and consistency of lochia.
Applying firm pressure on the fundus with both hands can cause uterine inversion, which is a life-threatening complication of postpartum hemorrhage.
The nurse should use gentle pressure and avoid overstimulation of the uterus.
Massaging the fundus in a circular motion with one hand while supporting the back with the other hand can cause displacement of the uterus and increase bleeding.
The nurse should massage the fundus in a downward motion from the top of the uterus to the umbilicus.
Rubbing the fundus vigorously with one hand until it becomes hard and expels clots can cause uterine rupture, which is another serious complication of postpartum hemorrhage.
The nurse should avoid excessive manipulation of the uterus and allow clots to pass naturally.
Use one hand to stabilize the lower uterine segment while massaging the fundus with the other hand.
This action prevents the uterus from inverting and reduces the risk of trauma to the cervix and vagina.
The nurse should also monitor the amount and consistency of lochia.
Choice B is wrong because applying firm pressure on the fundus with both hands can cause uterine inversion, which is a life-threatening complication of postpartum hemorrhage.
The nurse should use gentle pressure and avoid overstimulation of the uterus.
Choice C is wrong because massaging the fundus in a circular motion with one hand while supporting the back with the other hand can cause displacement of the uterus and increase bleeding.
The nurse should massage the fundus in a downward motion from the top of the uterus to the umbilicus.
Choice D is wrong because rubbing the fundus vigorously with one hand until it becomes hard and expels clots can cause uterine rupture, which is another serious complication of postpartum hemorrhage.
The nurse should avoid excessive manipulation of the uterus and allow clots to pass naturally.