During a routine postpartum assessment following a normal vaginal delivery, the nurse notes the fundus to be slightly boggy. Which action should the nurse take to decrease the risk of uterine inversion during uterine massage?
a. Ask the client to ambulate to the bathroom to empty her bladder.
b. Massage only until cramping begins.
c. Place one hand on the abdomen above the symphysis pubis.
d. Position the client in a slight Trendelenburg position.
C
Placing one hand on the abdomen above the symphysis pubis is the proper hand position for uterine massage to support and hold the lower part of the uterus to prevent inversion. Asking the client to ambulate to the bathroom to empty her bladder and positioning the client in a slight Trendelenburg position are not appropriate actions for fundal massage. Massage should not be limited to when cramping begins; the fundus should be massaged to firm it.
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