After the delivery of a newborn, which immediate intervention should the nurse prepare for if uterine inversion is suspected?

When uterine inversion is suspected after the delivery of a newborn, the most critical and immediate intervention is the replacement of the uterus through the vagina into its normal position. Uterine inversion occurs when the uterus turns inside out, which can lead to significant complications, including hemorrhage and shock. The priority in this situation is to quickly and effectively reposition the uterus to restore it to its normal anatomical positioning. This intervention can often be performed manually by the healthcare provider and is crucial for stabilizing the patient and preventing further complications.

In contrast, while a hysterectomy may be required in severe or unresolvable cases, it is not the immediate intervention for suspected uterine inversion. Insertion of an indwelling catheter is generally used for monitoring urinary output but does not address the urgent issue of uterine positioning. Administration of oxytocin can help manage uterine tone and reduce bleeding but is not the first action to take when the uterus is inverted. Thus, replacing the uterus into its correct position is the vital first step in managing uterine inversion effectively.