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

question 26

Multiple Choice

During the fourth stage of labor, the patient's assessment includes a BP of 110/60, pulse 90, and the fundus is firm midline and halfway between the symphysis pubis and the umbilicus. The priority action of the nurse is to:

• A) Turn the patient onto her left side.
• B) Place the bed in Trendelenburg position.
• C) Massage the fundus.
• D) Continue to monitor.

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