Which of the following would be most appropriate when massaging a woman's fundus?
A) Place the hands on the sides of the abdomen to grasp the uterus.
B) Use an up-and-down motion to massage the uterus.
C) Wait until the uterus is firm to express clots.
D) Continue massaging the uterus for at least 5 minutes.
C
Response:
The uterus must be firm before attempts to express clots are made because application of firm pressure on an uncontracted uterus could lead to uterine inversion. One hand is placed on the fundus and the other hand is placed on the area above the symphysis pubis. Circular motions are used for massage. There is no specified amount of time for fundal massage. Uterine tissue responds quickly to touch, so it is important not to overmassage the fundus.
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