A client in the third stage of labor has experienced placental separation and expulsion.
Why is it necessary for a nurse to massage the woman's uterus briefly until it is firm?.

To increase the boggy nature of the uterus.

To constrict the uterine blood vessels.

To lessen the chances of conducting an episiotomy.

To remove pieces left attached to the uterine wall.

Answer and Explanation

The Correct Answer is B

The correct answer is choice B.

Choice A rationale:

Massaging the uterus does not increase its boggy nature, but rather helps it contract and become firm, reducing the risk of postpartum hemorrhage.

Choice B rationale:

Massaging the uterus helps constrict the uterine blood vessels, which reduces bleeding after the placenta has been expelled.

Choice C rationale:

Massaging the uterus has no effect on the likelihood of conducting an episiotomy, which is a surgical incision made during childbirth.

Choice D rationale:

Massaging the uterus does not remove pieces left attached to the uterine wall. This would require a manual or surgical procedure.

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Correct Answer is B

Explanation

The correct answer is choice B.

Choice A rationale:

Brownish vaginal discharge can be a sign of labor but it is not definitive.

Choice B rationale:

Cervical dilation is a definitive sign that labor has started.

Choice C rationale:

Presence of amniotic fluid in the vaginal vault can indicate rupture of membranes but it does not confirm labor.

Choice D rationale:

Pain above the umbilicus is not a typical sign of labor.

A. Notify the client's provider. B. Increase the frequency of fundal massage. C. Document the findings and continue to monitor the client. D. Encourage the client to empty her bladder.

Correct Answer is C

Explanation

The correct answer is choice C.

Choice A rationale:

Notifying the provider is not necessary in this case as the findings are normal for a client who is 1 hour postpartum.

Choice B rationale:

Increasing the frequency of fundal massage is not necessary as the fundus is firm and at the umbilicus.

Choice C rationale:

The findings are normal for a client who is 1 hour postpartum. The nurse should document the findings and continue to monitor the client. Therefore, this choice is correct.

Choice D rationale:

Encouraging the client to empty her bladder is not necessary in this case as the fundus is midline.

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A client in the third stage of labor has experienced placental separation and expulsion.Why is it necessary for a nurse to massage the woman's uterus briefly until it is firm?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor.Which of the following findings confirm to the nurse that the client is in labor?.

Correct Answer is B

Explanation

A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad.The fundus is midline and firm at the umbilicus.Which of the following actions should the nurse take?.

Correct Answer is C

Explanation

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A client in the third stage of labor has experienced placental separation and expulsion.
Why is it necessary for a nurse to massage the woman's uterus briefly until it is firm?.