Nursing NUR201 Study Guide - Final Guide: Postpartum Period, Flatulence, Uterus
23 Apr 2016
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Fundal massage can temporarily increase vaginal bleeding in the form of blood pooling leaving the uterus. Uterus may remain boggy even after massage and expelling clots. Massaging fundus can be uncomfortable for woman, so its important to explain causes and danger of uterine atony and purpose of fundal massage. Teach: woman to massage own fundus; promotes control and reduces anxiety. Interventions: iv, oxytocin (stimulates contraction of uterine smooth muscles. Prevention of bladder distension full bladder causes uterus to be displaced above umbilicus and usually right of midline in the abdomen. First priority: assist woman to bathroom or onto bed pan if unable to ambulate. Have woman listen to running water, place her hands in warm water, or pour water from squeeze bottle over perineum may stimulate voiding. Assist woman into shower or sitz bath and encouraging voiding can be effective. If these measures are not effective, sterile catheter can be inserted to drain urine.
