medium · NCLEX-RN Health Promotion and Maintenance

The RN is assessing a postpartum client at 2 hours following delivery. The nurse finds the fundus is boggy and 2 cm above the umbilicus, and displaced to the right.

What is the first nursing action?

  1. Notify the provider of suspected retained placental fragments.
  2. Document 'fundus firm with massage' in the chart.
  3. Assist the client to void or catheterize if necessary.
  4. Increase the IV oxytocin infusion rate.

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