Nokea
The nurse notices the uterus is boggy and the bladder is full. What intervention should the nurse perform next?
Correct Answer: D
Rationale: Step-by-step rationale:
1. A boggy uterus indicates uterine atony, a common cause of postpartum hemorrhage.
2. A full bladder can prevent the uterus from contracting effectively.
3. Massaging the fundus helps stimulate contractions to prevent further bleeding.
4. Assessing lochia provides information on the amount and type of bleeding.
5. This intervention addresses the underlying issue and promotes uterine contraction, reducing the risk of hemorrhage.
Other choices are incorrect:
A: Calling for help is not the immediate intervention needed to address the uterine atony and full bladder.
B: Starting an IV bolus may be necessary later but is not the priority in this situation.
C: Getting the person out of bed is not appropriate when managing postpartum hemorrhage; addressing uterine atony is crucial.