What nursing intervention should nurse Dee perform after palpating Mrs Hodges fundus?
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Exam (elaborations)ATI real life postpartum hemorrhage; Scenario Nurse Dee is preparing to assess Ms. Hodges's uterusATI real life postpartum hemorrhage Scenario Nurse Dee is preparing to assess Ms. Hodges's uterus. Question Nurse Dee is preparing to assess Ms. Hodges's uterus. Which of the following images demonstrates the technique she should use to palpate the fundus of the uterus? Question Nurse Dee has compl... [Show more]Preview 1 out of 4 pages Preview 1 out of 4 pages SellerFollowigniteminds Member since 2 year 604 documents sold Reviews receivedExam (elaborations)$10.49 Add to wishlist
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The benefits of buying summaries with Stuvia:Guaranteed quality through customer reviewsStuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents. Quick and easy check-outYou can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed. Focus on what mattersYour fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core! Hi, I'm Meris with Level Up RN. And in this video, I'm going to be starting off our postpartum care by talking about assessing a patient's fundus and lochia. I'm going to be following along using our maternity flashcards. These are available on our website, leveluprn.com if you want to grab a set for yourself, and if you already have your own deck, I would invite you to follow along with me. All right. Let's get started. So, first up, we're going to be talking about assessing a patient's fundus. I think it's helpful to know what a fundus is before we get started. So the fundus is the topmost portion of the uterus, and that is the part that you can actually palpate from the outside to assess it, see how it feels, and see where it is. So you'll see that, on this card here, we have a bunch of bold, red text, which means that we think it's pretty important for your nursing practice. One of the things that we have on here is that you need to assess the fundal height, and we'll talk about that in a minute. But what you're going to be doing is feeling where it is in relation to the rest of the patient's abdomen. So is it at the level of the umbilicus? Is it above it? Is it below it? We need to know where it is and specifically, we want to see how it's trending, if it's going down, if it's coming up, what's going on with it. Then we have on here in bold red that, if the fundus is displaced laterally, that this means that the patient needs to empty their bladder. What nursing intervention should be performed after palpating the fundus?(5) Nursing interventions. (a) Palpate the fundus frequently to determine continued muscle tone. (b) Massage the fundus, if boggy, until firm (do not over massage, this fatigues the muscle). (c) Monitor patient's vital signs every 15 minutes until stable.
What nursing intervention should nurse Dee perform after palpating?The first action the nurse should take is to provide continuous and firm fundal massage. This will stimulate contraction of the uterus and its blood vessels, which will decrease blood loss. Nurse Dee is estimating the amount of blood loss.
What nursing intervention should the nurse perform based on her findings when assessing Miss Hodges Fundus?Assist Ms. Hodges to empty her bladder. The nurse should assist the client to empty her bladder. A distended bladder can interfere with the ability of the uterus to contract and increase the risk of hemorrhage.
When palpating a postpartum uterine fundus a nurse would expect it to be?12 hours after delivery, the fundus of the uterus should be firm - we always like firm - midline, meaning in the middle of the body, not deviated to one side or the other, and approximately at the level of the umbilicus, so at the level of the belly button. Now, you will see that this position can change over time.
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