Final answer:
If the nurse finds the uterus soft, boggy, and displaced above and to the right of the umbilicus, the nurse should first massage the uterus (d). This helps stimulate contractions and prevent further bleeding in cases of uterine atony.
Step-by-step explanation:
If the nurse finds the uterus soft, boggy, and displaced above and to the right of the umbilicus, the nurse should first massage the uterus. This finding suggests that the patient may be experiencing uterine atony, which is a common cause of postpartum hemorrhage. By massaging the uterus, the nurse can help stimulate contractions and prevent further bleeding.
Administering pain medication may be necessary if the patient is experiencing discomfort, but massaging the uterus should be the first intervention. Calling the physician may be necessary as well, but immediate actions to manage the patient's condition should be taken first. Documenting the findings is important for record keeping and to communicate the patient's condition to other members of the healthcare team, but it is not the first action the nurse should take.
This condition often indicates uterine atony, which can lead to postpartum hemorrhage if not managed promptly. By massaging the uterus, the nurse stimulates contractions that help the uterus contract to its normal firm state, reducing the risk of hemorrhage. After massaging the uterus and ensuring it is firm, the nurse should then document the findings and notify the physician if the situation does not improve. Administering pain medication may be necessary afterwards, but it is not the first priority in this scenario.