Question

The nurse provides care for a client immediately after a normal vaginal delivery. Which action does the nurse take first?

a) Assess the fundus for firmness and position

b) Encourage the client to breastfeed

c) Administer pain medication

d) Check the perineum for lacerations

Answer 1

The nurse takes the action of assessing the fundus for firmness and position first after a normal vaginal delivery.

Step-by-step explanation:

The nurse would first assess the fundus for firmness and position after a normal vaginal delivery. The fundus is the top portion of the uterus, and assessing it for firmness helps determine if there is postpartum hemorrhage. Additionally, checking the position of the fundus ensures that the uterus is contracting and returning to its pre-pregnancy size.