True or false: During the postpartum period, with any excessive spurting/trickling/dripping, there is no need to massage a firm fundus.

• A. True
• B. False
• C. Only in some cases
• D. Needs further assessment

Answer: (A)

The correct response is based on the understanding of postpartum care, particularly in relation to uterine tonicity and vaginal bleeding. During the postpartum period, if there is excessive bleeding characterized by spurting or trickling, it often indicates that the uterus might not be adequately contracting or has a possible retained placental piece. Massaging a firm fundus is typically indicated to help the uterus contract and reduce bleeding.

When the fundus is firm, massage may not be necessary; however, excessive bleeding suggests that further evaluation and potentially additional interventions may be required, including massage if the fundus becomes boggy.

Thus, stating that there is "no need to massage a firm fundus" during excessive bleeding is misleading and reflects an oversight of essential practices in managing postpartum hemorrhage. Therefore, the answer indicated does not align with the appropriate clinical practice for assessing and managing postpartum bleeding situations.