ati. RN Maternal Newborn Online Practice 2023 A CLOSE Question: 44 of 60 Time Elapsed: 02:45:37 PAUSE . . . . Pause Remaining: 08:20:00 . . . FLAG nurse is assessing a client who gave birth vaginally 12 hr ago and palpates their uterus to the right above the umbilicus. Which of the following terventions should the nurse perform? Reassess the client in 2 hr. Administer simethicone. Assist the client to empty their bladder. Instr..

Question

Cloie Jomariz P. Cudiamat · Accepted Answer

Correct Answer: Assist the client to empty their bladder.

Rationale

A uterus that is deviated to the right and above the umbilicus 12 hours postpartum is a classic sign of a distended bladder.

A full bladder pushes the uterus upward and to the side, preventing normal involution and increasing the risk for postpartum hemorrhage.

👉 The priority intervention is to assist the client to empty their bladder.

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Why the other options are incorrect

Reassess in 2 hr → Delays care. A displaced uterus needs immediate intervention.

Administer simethicone → This treats gas, not uterine displacement.

Instruct the client to lie on their right side → Positioning does not correct bladder distention.

Correct Intervention:

✔ Assist the client to empty their bladder.

Other subjects

Other subjects

Cloie Jomariz P. Cudiamat

Answer

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