The nurse is assessing four clients on the postpartum unit. Each client's uterine assessment is below. 1. The client is three days postpartum and her fundus is 3 cm below the umbilicus 2. The client is two days postpartum and her fundus is 2 cm above the umbilicus 3. The client is one day postpartum and her fundus is 1 cm below the umbilicus 4. The client delivered 8 hours ago and her fundus is at the umbilicus
Which client is experiencing uterine subinvolution?
4
2
1
3
The Correct Answer is B
A. Client 4, who delivered 8 hours ago, having a fundus at the umbilicus is within the expected range for a client at this stage postpartum.
B. Client 2, two days postpartum with a fundus 2 cm above the umbilicus, is suggestive of uterine subinvolution, as the fundus should be descending, not rising, after delivery.
C. Client 1, three days postpartum with a fundus 3 cm below the umbilicus, is within the expected range for the postpartum period.
D. Client 3, one day postpartum with a fundus 1 cm below the umbilicus, is within the expected range for the postpartum period.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
A. Cervical dilation of 5 cm typically indicates the active phase rather than the latent phase of the first stage of labor.
B. Cervical effacement of 50% is consistent with the latent phase, where cervical effacement is a prominent feature.
C. Contractions lasting about 30 to 45 seconds are characteristic of the latent phase.
D. Moderate contraction intensity is more typical of the active phase of the first stage of labor.
E. Contractions occurring every 5 to 10 minutes are consistent with the latent phase, where contractions are typically less frequent than in the active phase.
Correct Answer is ["0.2"]
Explanation
Dose available: 10 mg/ml Ordered dose 2mg
Dose to administer= ordered dose/available dose
= 2/10 = 0.2ml
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