NursingPlex
    Sign In
    Ati nur209 pediatrics final assessment proctored exam 2025

    A nurse is assessing a client 1 hour after delivery and notices a large amount of lochia rubra along with several small clots on the perineal pad. The client's fundus is firm and located at the umbilical level, in the midline. What action should the nurse take next?

    Explanation & Rationale

    A. Increase the frequency of fundal massage – Unnecessary if the fundus is firm. B. A firm fundus with normal lochia rubra and small clots is expected. No immediate intervention is required. C. Encourage the client to empty her bladder – Bladder distention can cause postpartum hemorrhage, but this scenario does not indicate bladder issues. D. Notify the provider immediately – Not required unless excessive bleeding or signs of hemorrhage occur.

    🔒 Submit your answer to reveal