The action that the nurse would implement is to report the finding to the healthcare provider. The type of bleeding that happened to this patient cannot be stopped by the nurse.
Lochia is trickling from the vagina, and the fundus is firm and midline; there is also no palpable bladder. This information indicates a possible vaginal or cervical laceration. The lochia should be dark red rather than bright red at any stage throughout the postpartum period. The volume should not be so large that it drips or runs from the vagina. Since the fundus is firm and midline at the umbilicus, the bleeding does not occur in the uterus or from uterine tone.
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