A nurse is caring for a client who experienced a vaginal delivery 8 hours ago.
When palpating the client's abdomen, at which of the following positions should the nurse expect to find the uterine fundus?.
To the right of the umbilicus.
2 cm above the umbilicus.
One fingerbreadth above the symphysis pubis.
At the level of the umbilicus.
The Correct Answer is D
The correct answer is choice D. At the level of the umbilicus.
Choice A rationale:
The uterine fundus is not typically found to the right of the umbilicus after delivery.
Choice B rationale:
The uterine fundus is not typically found 2 cm above the umbilicus after delivery.
Choice C rationale:
The uterine fundus is not typically found one fingerbreadth above the symphysis pubis after delivery.
Choice D rationale:
After delivery, the uterine fundus is typically found at the level of the umbilicus.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C.
Choice A rationale:
While it’s important to monitor a newborn’s glucose level, it’s not the immediate priority following birth.
Choice B rationale:
Placing the infant in the bassinet is not the immediate priority. The newborn needs to be dried and warmed first to prevent hypothermia.
Choice C rationale:
Drying the newborn and placing it skin-to-skin on the mother helps prevent hypothermia and promotes bonding. This is the immediate priority.
Choice D rationale:
A full head-to-toe assessment is important, but it’s not the immediate priority following birth.
Correct Answer is A
Explanation
The correct answer is choice A.
Choice A rationale:
Variable decelerations are associated with problems with the umbilical cord, such as compression. This is because they occur irregularly and can happen at any time during the contraction cycle.
Choice B rationale:
Early decelerations are usually benign and are associated with fetal head compression during a uterine contraction. They are not typically indicative of a problem with the umbilical cord.
Choice C rationale:
Accelerations are usually a sign of fetal well-being and are not typically associated with umbilical cord issues.
Choice D rationale:
Late decelerations are associated with uteroplacental insufficiency, which is a decrease in the blood flow to the placenta that reduces the amount of oxygen and nutrients transferred to the fetus. They are not typically indicative of a problem with the umbilical cord.
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