Maternal / Newborn Question #10
The nurse is performing a BUBBLE LE postpartum assessment and palpates a raised area just above the symphysis pubis. Which is the nurse’s priority action?
- Document the finding.
- Massage the uterus.
- Assist the client to void.
- Alert the health care provider.
The raised area indicates a full bladder, which may interfere with uterine involution. Having the client to void is an important intervention. Option A is incorrect since it is not the priority action. The nurses intervention is priority and will document intervention and client response afterward. Option B is incorrect since massaging the uterus will not help decrease the raise area. Option D is incorrect as the health care provider does not need notification.
Test Taking Tip