Ten minutes after a normal vaginal birth, the uterus feels soft and the pad is rapidly becoming soaked. What is the priority nursing action?
Correct answer: A. Massage the uterine fundus and assess the bleeding
- A. Massage the uterine fundus and assess the bleeding
- B. Offer a warm drink and reassess after one hour
- C. Encourage walking to improve uterine drainage
- D. Place the woman in a sitting position for comfort
Explanation
A soft uterus with rapid bleeding suggests uterine atony, a circulation emergency that can cause postpartum haemorrhage. Fundal massage promotes contraction while the nurse calls for help, checks vital signs, and prepares prescribed uterotonic treatment.
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About Normal Labour and Delivery
Normal labour covers the onset and stages of labour, cervical effacement and dilatation, fetal lie and presentation, the cardinal movements, and maternal and fetal monitoring. It includes partograph use, pain relief, normal vaginal birth, active management of the third stage, placental assessment and immediate care after delivery.
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