Question

Seven hours ago, a multigravida woman gave birth to a 4133-g male infant. She has voided once and calls for a nurse to check because she states that she feels "really wet" now. Upon examination, her perineal pad is saturated. The immediate nursing action is to:

A. assess and massage the fundus.
B. inspect the perineum for lacerations.
C. increase the flow of an IV.
D. call the primary care provider or the nurse-midwife.

Answer 1

The immediate nursing action is to assess and massage the fundus.

Step-by-step explanation:

The immediate nursing action in this scenario is to assess and massage the fundus. When a postpartum woman's perineal pad is greatly saturated, it is a sign of postpartum hemorrhage, which is excessive bleeding after childbirth. Assessing and massaging the fundus, which is the top portion of the uterus, helps stimulate contractions and control bleeding.