Maternal-newborn nursing · practice question
Four hours after delivery, the client's fundus is boggy above the umbilicus and deviated to the right. What should the nurse do first?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026maternal-newborn
Answer and explanation
Correct answer
D. Massage the fundus and assess for bladder distention and excessive bleeding.
Why
Boggy, deviated fundus suggests uterine atony and hemorrhage risk; fundal massage and assessment are priority.
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