What should be assessed if a fundus is found to be boggy?

• A. Fluid intake
• B. Uterine activity
• C. Abdominal tenderness
• D. Hemoglobin levels

Answer: (B)

A boggy fundus typically indicates uterine atony, which is a condition where the uterus fails to contract effectively after childbirth. This can lead to postpartum hemorrhage, making it crucial to assess uterine activity. Monitoring uterine activity helps determine the degree of contraction and the uterus's ability to return to its pre-pregnancy state. A firm and well-contracted fundus is essential for preventing excessive bleeding.

Assessing uterine activity includes checking the firmness, height, and position of the fundus, and observing if there are any signs of bleeding. If the fundus is boggy, immediate intervention may be required, such as fundal massage or medication to stimulate uterine contractions, to ensure the safety and well-being of the patient.

While assessing fluid intake, abdominal tenderness, and hemoglobin levels are relevant in nursing assessments, they do not specifically address the immediate concern of a boggy fundus as directly as evaluating uterine activity does.