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The nurse is assessing a patient after delivery and finds the uterine fundus boggy and one centimeter above the umbilicus. Which of the following is the priority nursing intervention?

Explanation

•If there is uterine atony, the first priority intervention of the nurse is to control hemorrhage by attempting uterine massage to encourage contraction. Contraction will compress the vessels and reduce blood flow.

•Second priority is to notify the physician if the uterus remains uncontracted. The physician will order oxytocics to help the uterus maintain tone.

•When the uterus is firm, observe the perineum for passage of clots and blood.

•Assess vital signs after ensuring that the uterus is well-contracted.

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