The nurse is assessing a client who has been diagnosed with an early postpartum hemorrhage. Which findings would the nurse expect? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. A boggy fundus that does not respond to massage
2. Small clots and a moderate amount of lochia rubra on the pad
3. Decreased pulse and increased blood pressure
4. Hematoma formation or bulging/shiny skin in the perineal area
5. Rise in the level of the fundus of the uterus
1, 4, 5
Explanation: 1. A boggy fundus indicates that the uterus is not contracted and will continue to bleed.
4. Shiny or bulging skin could indicate the presence of a hematoma.
5. The uterine cavity can distend with up to 1000 mL or more of blood causing the fundus to rise.
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