A nurse is preparing to perform a fundal massage for a postpartum client who is experiencing uterine atony. In which order should the nurse plan to perform the following actions?
A.
Ask the client to lie on her back and with her knees flexed.
B.
Position one hand around the top of the client’s fundus and one hand just above the client’s symphysis pubis.
C.
Rotate the upper hand to massage the client’s uterus while using slight downward pressure to compress the fundus.
D.
Observe the client’s perineum for the passage of clots and the amount of bleeding.

The correct answer is A, B, C, D