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    Ati nur 114 paediatrics proctored exam

    A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and displaced to the right. Based on these findings, which of the following actions should the nurse take?

    Explanation & Rationale

    A. Encourage the client to perform Kegel exercises: Kegel exercises strengthen pelvic floor muscles but do not correct uterine displacement or address a boggy fundus. They are not an immediate intervention for preventing postpartum hemorrhage. B. Ask the client to rate her pain: While assessing pain is important, it does not address the primary concern of a boggy, displaced fundus, which increases the risk of uterine atony and hemorrhage. C. Encourage the client to move to the left lateral position: Lateral positioning may improve comfort or circulation but does not correct a full bladder or a displaced, boggy uterus. D. Assist the client to the bathroom to void: A fundus displaced to the right often indicates bladder distention. Encouraging the client to void can relieve pressure on the uterus, allowing it to contract effectively and reduce the risk of postpartum hemorrhage.

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