A woman delivered a 9-lb, 10-oz baby 1 hour ago. When you arrive to perform her 15-minute assessment, she tells you that she "feels all wet underneath
" You discover that both pads are completely saturated and that she is lying in a 6-inch-diameter puddle of blood. What is your first action? a. Call for help.
b. Assess the fundus for firmness.
c. Take her blood pressure.
d. Check the perineum for lacerations.
B
Feedback
A The first action should be to assess the fundus.
B Firmness of the uterus is necessary to control bleeding from the placental site.
The nurse should first assess for firmness and massage the fundus as indicated.
C Assessing blood pressure is an important assessment with a bleeding patient, but
the top priority is to control the bleeding. This is done by first assessing the
fundus for firmness.
D If bleeding continues in the presence of a firm fundus, lacerations may be the
cause.
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