NUR1025C Lab Quiz #1 – Massage A Fundus
1. Which nursing action is most appropriate to correct a boggy uterus that is displaced above and to the right
of the umbilicus?
a. Assess the blood pressure and pulse.
b. Evaluate the lochia.
c. Notify the physician of an impending hemorrhage.
d. Assist the patient in emptying her bladder.
Urinary retention can cause overdistention of the urinary bladder, which lifts and displaces the uterus.
2. Postpartal overdistention of the bladder and urinary retention can lead to which complication?
a. Postpartum hemorrhage and urinary tract infection
b. Postpartum hemorrhage and eclampsia
c. Fever and increased blood pressure
d. Urinary tract infection and uterine rupture
Incomplete emptying and overdistention of the bladder can lead to urinary tract infection. Overdistention of
the bladder displaces the uterus and prevents contraction of the uterine muscle, thus leading to postpartum
hemorrhage. There is no correlation between bladder distention and high blood pressure or eclampsia. The
risk of uterine rupture decreases after the birth of the infant.
3. Nurses must be aware of the conditions that increase the risk of hemorrhage, one of the most common
complications of the puerperium. What are the conditions? Select all that apply.
a. Preeclampsia
b. Uterine fibroids
c. Overdistention of the uterus
d. Primipara
e. Rapid or prolonged labor
4. The nurse assesses the perineal pad placed on a 3-hour postdelivery patient and finds that there is no lochia
on it. What would the nurse expect to find on further assessment? (Select all that apply.)
a. A full bladder
b. A firm fundus the size of a grapefruit
c. Retained placental fragments
d. A soft, boggy fundus
e. Vital signs indicative of shock
Large clots that form in a flaccid uterus can obstruct the flow of lochia. A full bladder is a major cause of a
uterus that is boggy.
5. A woman delivered a 9-lb, 10-oz baby 1 hour ago. When you arrive to perform her 15-minute assessment,
she tells you that she "feels all wet underneath." You discover that both pads are completely saturated and
that she is lying in a 6-inch-diameter puddle of blood. What is your first action?
a. Assess the fundus for firmness.
b. Take her blood pressure.
c. Check the perineum for lacerations.
d. Call for help.
D The first action should be to assess the fundus.
A Firmness of the uterus is necessary to control bleeding from the placental site. The nurse should first assess
for firmness and massage the fundus as indicated.
1. Which nursing action is most appropriate to correct a boggy uterus that is displaced above and to the right
of the umbilicus?
a. Assess the blood pressure and pulse.
b. Evaluate the lochia.
c. Notify the physician of an impending hemorrhage.
d. Assist the patient in emptying her bladder.
Urinary retention can cause overdistention of the urinary bladder, which lifts and displaces the uterus.
2. Postpartal overdistention of the bladder and urinary retention can lead to which complication?
a. Postpartum hemorrhage and urinary tract infection
b. Postpartum hemorrhage and eclampsia
c. Fever and increased blood pressure
d. Urinary tract infection and uterine rupture
Incomplete emptying and overdistention of the bladder can lead to urinary tract infection. Overdistention of
the bladder displaces the uterus and prevents contraction of the uterine muscle, thus leading to postpartum
hemorrhage. There is no correlation between bladder distention and high blood pressure or eclampsia. The
risk of uterine rupture decreases after the birth of the infant.
3. Nurses must be aware of the conditions that increase the risk of hemorrhage, one of the most common
complications of the puerperium. What are the conditions? Select all that apply.
a. Preeclampsia
b. Uterine fibroids
c. Overdistention of the uterus
d. Primipara
e. Rapid or prolonged labor
4. The nurse assesses the perineal pad placed on a 3-hour postdelivery patient and finds that there is no lochia
on it. What would the nurse expect to find on further assessment? (Select all that apply.)
a. A full bladder
b. A firm fundus the size of a grapefruit
c. Retained placental fragments
d. A soft, boggy fundus
e. Vital signs indicative of shock
Large clots that form in a flaccid uterus can obstruct the flow of lochia. A full bladder is a major cause of a
uterus that is boggy.
5. A woman delivered a 9-lb, 10-oz baby 1 hour ago. When you arrive to perform her 15-minute assessment,
she tells you that she "feels all wet underneath." You discover that both pads are completely saturated and
that she is lying in a 6-inch-diameter puddle of blood. What is your first action?
a. Assess the fundus for firmness.
b. Take her blood pressure.
c. Check the perineum for lacerations.
d. Call for help.
D The first action should be to assess the fundus.
A Firmness of the uterus is necessary to control bleeding from the placental site. The nurse should first assess
for firmness and massage the fundus as indicated.
