During a postpartum assessment, the nurse notes that the uterus is midline and boggy. The immediate nursing action is:
a. To notify the patient's midwife or physician
b. Massage the fundus until firm and reevaluate within 30 minutes
c. Give Syntocinon as per orders
d. Assist the patient to the bathroom and ask her to void
ANS: b
Feedback
a. If the uterus does not respond to massage, then the nurse would give Syntocinon and notify the primary health provider.
b. The first nursing action for a boggy uterus is to massage the fundus.
c. If the uterus does not respond to massage, then the nurse would give Syntocinon and notify the primary health provider.
d. You would assist the woman to the bathroom if the uterus is boggy and displaced to the side.
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