A practical nurse (PN) is preparing to collect data on the uterine fundus and lochia of a postpartum client. In which order should the PN perform the following actions? Arrange the steps in the correct sequence from first to last.
- 1Ask the client to void and empty their bladder.
- 2Position the client flat in bed with knees slightly flexed.
- 3Place one hand just above the symphysis pubis to support the lower uterine segment.
- 4Palpate the fundus gently while observing the perineal pad for lochia.
Answer
The correct order is to first ask the client to empty their bladder, then position the client supine with flexed knees, support the lower uterine segment, and finally palpate the fundus while observing the lochia.
For accurate postpartum data collection, the client must first empty their bladder because a distended bladder displaces the uterus, leading to inaccurate findings and potentially increased lochia. Next, positioning the client with flexed knees relaxes the abdomen for comfort and accuracy. The PN must then support the lower uterine segment to prevent uterine inversion before finally palpating the fundus and observing the resulting lochia.
Step-by-Step Solution
Key Concept
Postpartum fundal and lochia data collection technique