A nurse is performing fundal massage for a client. What precaution should the nurse take when giving a fundal massage?
A) Never massage a contracted fundus.
B) Avoid placing a hand over the symphysis pubis.
C) Report cramps immediately to physician.
D) Avoid applying heat to relieve cramps.
A
Feedback:
The nurse should never massage a contracted fundus because massage of an already contracted uterus may cause it to invert, which can become an emergency situation. A hand should be placed over the symphysis pubis to stabilize the uterus. The mother may have painful cramps as the uterine muscles contract. These cramps are called after-pains and are more likely to occur in multigravidas; they need not be reported. Heat application helps to relieve cramps.
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