NURS 206-64.pdf - • • • • • • • • • • Rationale: Uterine...

• Rationale: Uterine inversion occurs when the uterus
turns completely or partially inside out, usually during the
third stage of labor. The health care provider tries to replace
the uterus, by wayof the vagina, in a normal position. If this
is not possible, laparotomy with replacement is performed.
A hysterectomy may be required. Two intravenous lines are
established to allow rapid fluid and blood replacement. A
tocolytic medication or general anesthesia usually is needed
to relax the uterus enough to
replace it. To help ensure that the inverted fundus is not
trapped in the cervix, oxytocin is not given until the uterus
has been repositioned. Fundal massage should be avoided if
possible, but, ifit is prescribed, it should be conducted very
carefully. A Foley catheter may be inserted to keep the
bladder empty so that the uterus can contract well, but this
is not the immediate action.
• Test-Taking Strategy: Use the process of elimination
and note the strategic word “immediately.” Note the