A nurse is caring for a client who is 12 hr postpartum following a vaginal delivery. Which of the following findings should the nurse expect?

Fundus soft, 1 cm to the right of the umbilicus

Fundus soft, 2 cm above the umbilicus

Fundus firm, at the level of the umbilicus

Fundus present, to the left of the umbilicus

Answer and Explanation

The Correct Answer is C

C) Fundus firm, at the level of the umbilicus:
Twelve hours postpartum, the fundus should be firm, indicating ongoing uterine contraction, and it should be at the level of the umbilicus. This position and consistency indicate that the uterus is involuting properly, and bleeding risk is reduced.

A) Fundus soft, 1 cm to the right of the umbilicus:
A soft fundus located 1 cm to the right of the umbilicus suggests that the uterus is not contracting adequately and may be at risk for postpartum hemorrhage. This finding is not expected 12 hours postpartum.

B) Fundus soft, 2 cm above the umbilicus:
A soft fundus located 2 cm above the umbilicus suggests that the uterus is not contracting adequately and may be at risk for postpartum hemorrhage. This finding is not expected 12 hours postpartum.

D) Fundus present, to the left of the umbilicus:
The location "to the left of the umbilicus" is not a normal position for the fundus postpartum. The fundus should be at or below the level of the umbilicus to indicate proper involution.

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Correct Answer is D

Explanation

D) Variable decelerations are due to umbilical cord compression:
Variable decelerations are characterized by abrupt, V-shaped decreases in fetal heart rate that are associated with contractions. They are caused by compression of the umbilical cord, leading to temporary disruption of blood flow to the fetus. Positional changes, amnioinfusion, or maternal oxygen administration are often used to alleviate umbilical cord compression.

A) Variable decelerations are related to fetal head compression:
Variable decelerations are not primarily caused by fetal head compression. Fetal head compression is associated with early decelerations, characterized by a gradual decrease in fetal heart rate coinciding with uterine contractions.

B) Variable decelerations are a result of the administration of IV narcotic analgesics:
Variable decelerations are not typically associated with the administration of IV narcotic analgesics. Narcotic analgesics can cause other fetal heart rate changes, such as late decelerations, but variable decelerations are specifically related to umbilical cord compression.

C) Variable decelerations are caused by uteroplacental insufficiency:
Variable decelerations are not primarily caused by uteroplacental insufficiency. Uteroplacental insufficiency is associated with late decelerations, which occur as a result of inadequate oxygen supply to the fetus during uterine contractions.

A. Soft, edematous area on the scalp B. Poor sucking C. Facial edema D. Blue coloring of the hands and feet

Correct Answer is B

Explanation

B) Poor sucking:
Following a vacuum-assisted delivery, poor sucking can indicate potential neurological issues or birth trauma. It could suggest problems with cranial nerve function or other underlying conditions that need further evaluation by the provider.

A) Soft, edematous area on the scalp:
A soft, edematous area on the scalp is a common finding after a vacuum-assisted delivery due to the pressure exerted by the vacuum cup. This finding is expected and usually resolves without intervention.

C) Facial edema:
Facial edema is a common occurrence after a vacuum-assisted delivery due to the pressure exerted by the vacuum cup on the baby's face during delivery. It usually resolves within a few days without intervention.

D) Blue coloring of the hands and feet:
Blue coloring of the hands and feet, known as acrocyanosis, is a common finding in newborns and is not typically a cause for concern. It often resolves within a few hours to days after birth and does not require immediate intervention.

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A nurse is caring for a client who is 12 hr postpartum following a vaginal delivery. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?

Correct Answer is D

Explanation

A nurse is assessing a newborn following a vacuum-assisted delivery. Which of the following findings should the nurse report to the provider?

Correct Answer is B

Explanation

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