What are the priority nursing interventions

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Reference no: EM133858633

Critical Thinking Exercise:

Kristal Naval, a 26 year old gravida 4, para 3, has a rapid labor and delivers a baby weighing 4000g (8.8 lb). Two hours later, she is transferred to postpartum unit. At the initial postpartum assessment, Kristals' fundus is firm, at the level of umbilicus. Lochia is heavy, with occasional small clots expressed. Vital signs are unchanged from prenatal baseline.

QUESTIONS:

The nurse observes that the fundus is soft and lochia is excessive. What are the priority nursing interventions? Why?
Within an hour the fundus becomes "boggy" again and is located 3 cm above the umbilicus and displaced to the right. What is the priority nursing action? Why?
Kristal voids 500 ml. The fundus is difficult to locate and lochia is excessive. What is the next nursing action? Why?

Reference no: EM133858633

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