A nurse is collecting data from a client who is 8 hr postpartum. Where should the nurse expect to find the fundus?
At a non-palpable depth
At the umbilicus
2 cm below the umbilicus
Just above the symphysis pubis
The Correct Answer is B
A. At a non-palpable depth – Incorrect; the fundus is still palpable in the immediate postpartum period.
B. At the umbilicus – Correct; at 8 hours postpartum, the fundus is typically at the level of the umbilicus.
C. 2 cm below the umbilicus – Incorrect; the fundus begins to descend around 24 hours postpartum.
D. Just above the symphysis pubis – Incorrect; this occurs around day 10 postpartum.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. By calculating the time between the beginning of one contraction to the beginning of the next – Correct; frequency is measured from the start of one contraction to the start of the next.
B. By measuring the duration of the contractions – Incorrect; duration refers to how long a contraction lasts, not frequency.
C. By assessing the intensity of the contractions – Incorrect; intensity refers to the strength of the contraction.
D. By palpating the resting tone of the uterus – Incorrect; resting tone assesses uterine relaxation between contractions.
Correct Answer is C
Explanation
A. Elevated client blood pressure during contractions – Incorrect; high BP can reduce uteroplacental circulation, affecting fetal oxygenation.
B. Decrease in client blood volume – Incorrect; a drop in blood volume would compromise oxygen delivery.
C. Increased client cardiac output – Correct; cardiac output increases during labor to enhance blood flow to the placenta, improving fetal oxygenation.
D. Client bradypnea – Incorrect; slow breathing (bradypnea) can lead to hypoxia, reducing fetal oxygen supply.
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