Yani is a 32-year-old female who just had a 6lb., 8 oz. baby boy eight hours prior to your shift.
She had her baby with a vaginal delivery and did not have vaginal tears or require an episiotomy.
She has a saline loc in her right hand to keep the vein opened.
She is accompanied by her
husband with her baby at the bedside.
You have just started your nightshift are preparing to do
her vital signs.
You do her vital signs and note they are the following: Temp: 36, BP: 70/50,
Pulse: 130, RR: 24, Pulse Ox: 88% room air.
You ask she tells you this.
She continues further
by saying “goodness, I am sweating sooo much, I am so embarrassed, can you help me change.”
4) Describe what normal findings would be for a fundus for Yani at this point and also
describe what nursing intervention would you have to initiate for a fundus that is abnormal
finding?
Explain the rationale for the intervention (0.5 for the normal finding, 0.5 for
nursing intervention to initated for abnormal fundus finding
At this point, eight hours after delivery, the fundus should be approximately at the level of the umbilicus, firm, and midline. The fundus should gradually decrease in size and tone as the uterus undergoes involution. The postpartum assessment of the fundus is crucial to monitor for any signs of excessive bleeding or retained placental tissue.
If the fundus is found to be boggy (soft), displaced from the midline, or above the expected level (e.g., higher than the umbilicus), it indicates uterine atony, which is a potential cause of postpartum hemorrhage. In such a case, the nursing intervention would be to perform fundal massage. This intervention involves using gentle but firm circular motions on the uterus to stimulate contractions and improve uterine tone.
Fundal massage is a vital nursing intervention for a boggy or displaced uterus because it helps to prevent or control postpartum hemorrhage. By stimulating uterine contractions, the massage aids in reducing bleeding by compressing blood vessels at the placental site and promoting the expulsion of any retained placental fragments. Additionally, fundal massage helps the uterus to contract back to its normal size, promoting the process of involution. It is essential to address any abnormal findings promptly to prevent complications such as hemorrhage and ensure the well-being of the postpartum client.
As a renowned provider of the best writing services, we have selected unique features which we offer to our customers as their guarantees that will make your user experience stress-free.
Unlike other companies, our money-back guarantee ensures the safety of our customers' money. For whatever reason, the customer may request a refund; our support team assesses the ground on which the refund is requested and processes it instantly. However, our customers are lucky as they have the least chances to experience this as we are always prepared to serve you with the best.
Plagiarism is the worst academic offense that is highly punishable by all educational institutions. It's for this reason that Peachy Tutors does not condone any plagiarism. We use advanced plagiarism detection software that ensures there are no chances of similarity on your papers.
Sometimes your professor may be a little bit stubborn and needs some changes made on your paper, or you might need some customization done. All at your service, we will work on your revision till you are satisfied with the quality of work. All for Free!
We take our client's confidentiality as our highest priority; thus, we never share our client's information with third parties. Our company uses the standard encryption technology to store data and only uses trusted payment gateways.
Anytime you order your paper with us, be assured of the paper quality. Our tutors are highly skilled in researching and writing quality content that is relevant to the paper instructions and presented professionally. This makes us the best in the industry as our tutors can handle any type of paper despite its complexity.
Recent Comments