A woman 1 hour after vaginal birth has heavy vaginal bleeding and a soft, boggy uterus. What is the priority nursing action?
Correct answer: B. Massage the uterine fundus and call for help
- A. Apply a warm compress to the perineum
- B. Massage the uterine fundus and call for help
- C. Encourage oral fluids and reassess in 30 minutes
- D. Place the woman in a sitting position for comfort
Explanation
A boggy uterus with heavy bleeding indicates possible uterine atony, a circulation emergency. Fundal massage helps the uterus contract while urgent help is obtained; waiting may worsen postpartum haemorrhage.
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About Postnatal Care and Breastfeeding
Maternal postnatal care assesses uterine involution, lochia, perineal healing, bladder and bowel function, vital signs, emotional wellbeing and signs of puerperal infection or haemorrhage. Breastfeeding covers colostrum, milk production, positioning and attachment, feeding frequency, common difficulties and the distinction between normal breast changes and mastitis.
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