A patient who has recently delivered a baby has heavy vaginal bleeding and a soft, boggy uterus. What should the nurse do first?
Correct answer: A. Massage the uterine fundus
- A. Massage the uterine fundus
- B. Place the patient in a sitting position
- C. Offer a warm drink and observe the bleeding
- D. Apply an abdominal ice pack without assessing the uterus
Explanation
A boggy uterus with heavy bleeding indicates uterine atony, a common cause of postpartum haemorrhage. Fundal massage is the immediate nursing action to stimulate uterine contraction, followed by urgent escalation and prescribed treatment. Sitting upright and observation alone do not address the bleeding.
Report an error
The more specific you are, the faster it gets fixed. A source beats an opinion.
Prefer email? support@testustad.com
About Clinical Judgement and Prioritisation
Clinical judgement links assessment findings, nursing knowledge and patient responses to a safe decision. Coverage includes ABCDE assessment, recognising actual or potential instability, prioritising airway, breathing and circulation, using urgency and risk rather than routine order, reassessing after intervention, and distinguishing a nursing priority from a medical diagnosis or a task that can wait.
Practise Clinical Judgement and Prioritisation
50 free Clinical Judgement and Prioritisation MCQs from International Nursing Practice, each with the correct answer and an explanation. Unlimited attempts, no account needed.
Discussion
Stuck on an option, or know a faster way to get there? Ask or explain it here.
No comments yet. Be the first to explain this one.
Exams that ask International Nursing Practice questions like this
International Nursing Practice is on 2 papers prepared for on TestUstad, and all of them draw the same bank, so this question is worth knowing for every one of them.
More Clinical Judgement and Prioritisation questions
A patient receiving intravenous potassium develops muscle weakness and the cardiac monitor shows widening QRS complexes. What should the nurse do first?
A patient with a large gastrointestinal bleed is pale, clammy, and dizzy. The blood pressure is 82/48 mmHg, and the patient is becoming less responsive. What should the nurse do first?
During an intravenous chemotherapy infusion, the patient reports burning at the cannula site, and the surrounding skin is swollen. What should the nurse do first?
A patient with a new tracheostomy is found lying flat with increasing work of breathing. The tracheostomy tube is still in place, and the oxygen saturation is 94%. What should the nurse do first?
A patient with acute kidney injury has a potassium level of 6.7 mmol/L and reports new muscle weakness. Which action should the nurse take first?
A patient returns from a procedure and suddenly becomes restless, with cool skin and a rapid weak pulse. The dressing is soaked with fresh blood. What should the nurse do first?