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During the Fourth Stage of Labor, the Client's Assessment Includes

Question 18

Multiple Choice

During the fourth stage of labor, the client's assessment includes a B P of 110/60, pulse 90, and the fundus is firm midline and halfway between the symphysis pubis and the umbilicus.
What is the priority action of the nurse?


A) Turn the client onto her left side.
B) Place the bed in Trendelenburg position.
C) Massage the fundus.
D) Continue to monitor.

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