When preparing for and performing an assessment of the postpartum client, which of the following would the nurse do? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Ask the client to void before assessing the uterus.
2. Inform the client of the need for regular assessments.
3. Defer client teaching to another time.
4. Perform the procedures as gently as possible.
5. Take precautions to prevent exposure to body fluids.
1, 2, 4, 5
Explanation: 1. Palpating the fundus when the woman has a full bladder may give false information about the progress of involution. Ask the woman to void before assessment.
2. The nurse should provide an explanation of the purposes of regular assessment to the woman.
4. The woman should be relaxed before starting, and procedures should be performed as gently as possible, to avoid unnecessary discomfort.
5. Gloves should be worn before starting the assessment.
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