A Nurse Decides to Perform Fundal Massage Based on Findings That Support Which Condition?
Fundal massage is a technique commonly performed by nurses to aid in the prevention of postpartum hemorrhage (PPH). PPH is a life-threatening condition where excessive bleeding occurs after childbirth. This condition can lead to severe complications and even death if left untreated. Therefore, the nurse’s decision to perform fundal massage is crucial in ensuring the well-being of the mother.
The main finding that supports the nurse’s decision to perform fundal massage is a boggy or soft uterus. After childbirth, the uterus should contract and become firm. However, in some cases, the uterus fails to contract adequately, leading to a soft and boggy feeling upon palpation. This indicates that the uterus is not effectively closing off blood vessels, increasing the risk of excessive bleeding.
By performing fundal massage, the nurse aims to stimulate uterine contractions and promote the closure of blood vessels. This is achieved by applying gentle but firm pressure on the fundus, which is the top portion of the uterus. With each massage, the nurse encourages the uterus to contract and become firm, reducing the risk of PPH.
Frequently Asked Questions (FAQs):
1. What is fundal massage?
Fundal massage is a technique where a nurse applies gentle but firm pressure on the top portion of the uterus to stimulate contractions.
2. Why is fundal massage performed?
Fundal massage is performed to prevent postpartum hemorrhage by promoting uterine contractions and closure of blood vessels.
3. How is fundal massage performed?
The nurse uses their hands to apply pressure on the fundus in a circular motion, gradually increasing pressure until the uterus becomes firm.
4. Is fundal massage painful?
Fundal massage should not be painful, but some discomfort or cramping may be experienced.
5. When is fundal massage necessary?
Fundal massage is necessary when the uterus feels soft and boggy, indicating poor contractions and an increased risk of postpartum hemorrhage.
6. Can fundal massage be performed at home?
Fundal massage is typically performed by a healthcare professional in a hospital setting.
7. Are there any risks or complications associated with fundal massage?
When performed correctly, fundal massage carries minimal risks. However, if excessive force is applied, there is a potential risk of uterine rupture.