During the fourth stage of labor, the client's assessment includes a B P of 110/60, pulse 90, and the fundus is firm midline and halfway between the symphysis pubis and the umbilicus.
What is the priority action of the nurse?
A) Turn the client onto her left side.
B) Place the bed in Trendelenburg position.
C) Massage the fundus.
D) Continue to monitor.

Question

Quizplus · Accepted Answer

The client's vital signs are stable, and the fundus is firm and in the expected position for the fourth stage of labor, indicating no immediate concerns. Therefore, the priority action is to continue to monitor the client.

During the Fourth Stage of Labor, the Client's Assessment Includes