00:01
Okay, so i see that you need help with this question.
00:03
It says, what nursing interventions could be performed after palpating the client's fundus? her fundus is slightly boggy but firm with massage at two fingerprints above the umbilicus and has deviated to the right.
00:23
She also has moderate low chia and she isn't moving around too much.
00:29
Be sure to include your rationale for the interventions you feel nurse d should perform.
00:35
Okay, so the first thing is assess for bladder fullness.
00:47
The rationale is a full bladder can displace the uterus and contribute tribute to the uterine and antony, where the uterus is less contractile or boggy, which can lead to increased bleeding.
01:02
The deviation of the fundus to the right could indicate a full bladder.
01:08
I encourage the client to empty her bladder and help the uterus contract properly and return to its normal position.
01:15
You could continue to massage the uterus.
01:25
The rationale behind that is if the fundus is slightly boggy but becomes firm with massage, continue to massage the fundus gently but firmly with a circular motion.
01:37
This helps stimulate the uterine contractions to reduce reduce bleeding, and encourage the uterus to become firm.
01:45
The third thing is monitor the low chia.
01:52
The moderate low chia is normal in the immediate postpartum period, but it's important to monitor the amount, color, and odor closely.
02:03
An increase in bleeding or changes in low chia could indicate complications such as a retained placenta, fragments, or an infection...