A nurse is caring for a patient who had a vaginal delivery 12 hours ago.
Where should the nurse expect to find the uterine fundus when palpating the patient’s abdomen?
2 cm above the umbilicus.
One fingerbreadth above the symphysis pubis.
At the level of the umbilicus.
To the right of the umbilicus.
The Correct Answer is A
Choice A rationale
At about 12 hours after delivery, the uterine fundus can be palpated at 1 cm above the umbilicus. This is the correct answer.
Choice B rationale
One fingerbreadth above the symphysis pubis is not where the uterine fundus is expected to be found 12 hours after a vaginal delivery.
Choice C rationale
At the level of the umbilicus is not where the uterine fundus is expected to be found 12 hours after a vaginal delivery.
Choice D rationale
To the right of the umbilicus is not where the uterine fundus is expected to be found 12 hours after a vaginal delivery.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
The term “passenger” in the context of the 5 P’s of labor refers to the fetus. The size, presentation, and position of the fetus can all affect the progress of labor. However, the provider’s comment about there being “plenty of room in the pelvis” does not directly relate to the fetus, so this is not the correct answer.
Choice B rationale
The term “passageway” refers to the birth canal, which includes the pelvis. The size and shape of the pelvis can greatly impact the progress of labor. If the provider comments that there is “plenty of room in the pelvis,” they are likely referring to the passageway. Therefore, this is the correct answer.
Choice C rationale
The term “powers” refers to the contractions during labor. The frequency, duration, and intensity of contractions can affect the progress of labor. However, the provider’s comment about there being “plenty of room in the pelvis” does not directly relate to contractions, so this is not the correct answer.
Choice D rationale
The term “position” refers to the mother’s position during labor. Different positions can help facilitate the progress of labor and can help with pain management. However, the provider’s comment about there being “plenty of room in the pelvis” does not directly relate to the mother’s position, so this is not the correct answer.
Correct Answer is B
Explanation
Choice B rationale
The umbilical cord normally contains two arteries and one vein. The arteries carry deoxygenated blood and waste products from the fetus to the placenta, and the vein carries oxygenated blood and nutrients from the placenta to the fetus.
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