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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. "You will need to discuss this with the provider." – Incorrect; the nurse plays a key role in assessing and incorporating cultural practices into care.
B. "There are specific pain management options that you need to use." – Incorrect; this does not consider the client’s preferences and cultural beliefs.
C. "It is better to use pain management options that have been researched." – Incorrect; while evidence-based practices are important, cultural preferences should be respected.
D. "We will work with you to incorporate the practices that are safe for you and your fetus." – Correct; this response is client-centered and respects cultural beliefs while ensuring safety.

A. The quality of the pain B. The client's allergies C. The location of the pain D. The intensity of the pain E. The client's family history of pain F. The client's blood pressure

Correct Answer is ["A","C","D"]

Explanation

A. The quality of the pain – Correct; describes how the pain feels (e.g., sharp, dull, cramping).

B. The client's allergies – Incorrect; allergies are important for medication safety, but they do not assess pain perception.

C. The location of the pain – Correct; helps determine if the pain is contraction-related or another issue.

D. The intensity of the pain – Correct; measured using a pain scale.

E. The client's family history of pain – Incorrect; individual perception of pain is more relevant than family history.

F. The client's blood pressure – Incorrect; BP is monitored in labor but is not part of pain perception assessment.

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A nurse is collecting data from a client who is 8 hr postpartum. Where should the nurse expect to find the fundus?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A practical nurse is gathering data from the client on incorporating cultural practices into their pain management during labor. Which of the following statements by the nurse is most appropriate?

Correct Answer is D

Explanation

A practical nurse is gathering data on a laboring client's perception of pain. Which of the following should be included? (Select All that Apply.)

Correct Answer is ["A","C","D"]

Explanation

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