The answer is Uterine atony. Fundal massage is performed for uterine atony, which is a failure of the uterus to contract and retract after birth. The nurse would place the gloved dominant hand on the fundus and the gloved nondominant hand on the area just above the symphysis pubis. In a circular motion, the nurse rubs the fundus with the dominant hand. Then the nurse checks for firmness and, if firm, they apply gentle downward pressure to express clots that may have mount up. Finally, the nurse help the woman with perineal care and applying a new perineal pad.
