Question

The nurse places one hand above the symphysis while massaging the fundus of a multiparous client whose uterine tone is boggy 15 minutes after delivering a 7 pound 10 ounce infant. Which information should the nurse provide the client about this finding?

Answer 1

The nurse should inform the client that a boggy uterus 15 minutes after delivery is not normal and may indicate uterine atony. Fundal massage is performed to stimulate uterine contractions and improve uterine tone in order to prevent postpartum hemorrhage. The nurse's approach of placing one hand above the symphysis is aimed at providing support and preventing uterine inversion.

Step-by-step explanation:

The nurse should inform the client that a boggy uterus 15 minutes after delivery is not normal and may indicate uterine atony, which is the lack of uterine muscle tone. The nurse is performing fundal massage to stimulate uterine contractions and improve uterine tone. By placing one hand above the symphysis, the nurse is providing support to prevent inversion of the uterus. This finding is important to address because a boggy uterus can lead to postpartum hemorrhage. The massage and support are aimed at preventing excessive bleeding and promoting uterine involution. It is important for the client to understand the significance of this finding and the interventions being done to prevent complications.