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

question 18

Multiple Choice

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.

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