Question

The nurse is preparing to perform a fundal assessment on a postpartum client. The nurse understands that which is the initial nursing action when performing this assessment?

A. Palpate the fundus for firmness
B. Measure the fundal height
C. Instruct the client to empty her bladder
D. Administer uterotonic medications

Answer 1

The initial nursing action in performing a fundal assessment on a postpartum client is to instruct the client to empty her bladder. This is important for an accurate assessment and to prevent uterine displacement.

Step-by-step explanation:

The initial nursing action when a nurse is preparing to perform a fundal assessment on a postpartum client is to instruct the client to empty her bladder. Ensuring that the bladder is empty is crucial as a full bladder can displace the uterus and interfere with an accurate assessment of uterine involution. After the bladder has been emptied, the nurse can proceed to palpate the fundus for firmness and measure the fundal height to ensure that the uterus is contracting and returning to its pre-pregnancy size, a process known as involution. This process is important for reducing the risk of postpartum hemorrhage and allowing the mother's abdominal organs to return to their pre-pregnancy locations. Furthermore, breastfeeding can facilitate this involution process.