Question

The nurse is assessing the fundus in a postpartum woman and notes that the uterus is soft and spongy and not firmly contracted. The nurse should prepare to implement which interventions? Select all that apply.

Answer 1

The primary intervention is to massage the fundus until it is firm and to express clots that may have accumulated in the uterus. Uplifting the client's legs and positioning the client on the side would not assist in managing uterine atony. Assertive on an uncontracted uterus can invert the uterus and cause massive hemorrhage. If the uterus is not constricted firmly.