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Which of the following initial nursing actions has to be taken before performing fundal assessment on a post-partum client ?

Which of the following initial nursing actions has to be taken before performing fundal assessment on a post-partum client ? Correct Answer Ask the mother to empty her bladder

Concept:-

  • Post-partum fundal assessment: assessment of fundus for 1 hour after delivery.

Nursing care before fundal assessment:

  • Ask the mother to empty her bladder (this is the initial action which will be taken by nurse)
  • Encourage the mother to ambulate
  • Turn on her side
  • Lie flat on her back with the knees and legs flat and straight
  • Massage the fundus gently
  • Observe for increased vaginal bleeding
  • Document fundal position, consistency and height.

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