Two hours after delivery, a patient's fundus is boggy and has risen to above the umbilicus. The first action the nurse would take is to:

Question

Quizplus · Accepted Answer

A boggy and elevated fundus two hours after delivery indicates uterine atony, which can be treated by massaging the fundus until it becomes firm. This will stimulate contraction of the uterus and help prevent excessive bleeding. If the fundus remains boggy despite massage, additional interventions including medications or notifying the physician may be necessary. Expressing retained clots or increasing the intravenous solution are not the first actions to take in this situation.

Two Hours After Delivery, a Patient's Fundus Is Boggy and Has