Exhibits The nursing priority is to dropdown

Massage the fundus: The client has heavy lochia rubra with clots, which indicates possible postpartum hemorrhage (PPH). A firm fundus does not rule out excessive bleeding, so fundal massage and further assessment are critical. PPH is a life-threatening condition and must be addressed immediately. Incorrect Answers & Rationale: Encourage the client to ambulate: While ambulation is important postpartum, it is not the priority in the presence of heavy bleeding. The client should remain in bed until bleeding is controlled. Offer the client fluids: Fluids are beneficial but do not address the immediate concern of heavy bleeding. PPH requires active intervention, not just hydration. Administer pain medication for postpartum discomfort: Pain relief is important, but postpartum hemorrhage is the priority. Uncontrolled bleeding is life-threatening and must be managed first.