Question

a client who delivered an infant an hour ago tells the nurse that she feels wet underneath her buttock. the nurse notes that both perineal pad are completely saturated and the client is lying in a 6-inch diameter pool of blood. which action is the priority for the nurse to implement next?

Answer 1

The nurse should check for the firmness of the fundus of uterus.

The priority of the nurse to implement next is to check for the firmness of the fundus of uterus. This is because this is a life-threatening situation and priority must be placed on maintaining client safety.

The nurse will want to ensure that there is no pooling of blood in the perineal area, which could indicate that there is a tear or puncture, or no blood flow at all. The nurse will also want to ensure that there is enough pressure being applied on the uterine fundus from above, which can be done by applying firm pressure over it with your hand, or by placing something like a pillow under your hips; this helps create more pressure in order to prevent hemorrhaging.

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