The nurse is completing a fundal assessment for her postpartum clients today. What will the nurse determine when assessing the fundus?

Shape, tone and height

Tone, position and height

Tone, shape and position

Shape, height and position

Answer and Explanation

The Correct Answer is C

A. While shape and height are important aspects, tone is also a key component in assessing the fundus after childbirth.
B. Position is part of the assessment, but the shape and tone are equally crucial components.

C. This choice correctly includes all the essential aspects of a fundal assessment: tone, shape, and position.
D. While shape and height are important, tone and position are equally vital components in assessing the fundus.

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Correct Answer is B

Explanation

A. The interval from the end of one contraction to the beginning of the next one is the frequency, not the duration.
B. Counting the interval from the beginning to the end of one contraction provides the duration of that contraction.
C. Counting the number of contractions in 10 minutes gives the frequency, not the duration.

D. Counting the interval between the acmes (peaks) of two consecutive contractions is not a standard method for determining the duration of contractions. The duration is usually measured from the beginning to the end of a single contraction.

A. "Do you have an inverted nipple on the affected breast?" B. "Do you have breast milk in the affected breast?" C. "Is there a bruised area on the affected breast?" D. "Is there a hardening of an area in the affected breast?"

Correct Answer is D

Explanation

A. An inverted nipple is not indicative of mastitis.

B. Presence of breast milk is expected postpartum and does not specifically indicate mastitis.

C. A bruised area is not a common sign of mastitis.

D. Mastitis often presents with localized pain, redness, swelling, and a hardening of the affected area of the breast. Asking about the presence of a hardening will help assess for mastitis.

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The nurse is completing a fundal assessment for her postpartum clients today. What will the nurse determine when assessing the fundus?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client in labor. Which process will the nurse use to determine the duration of contractions?

Correct Answer is B

Explanation

The nurse takes a phone call from a client at two weeks postpartum. The client states, "My left breast hurts." What other question will the nurse ask her to determine if it is mastitis?

Correct Answer is D

Explanation

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The nurse is completing a fundal assessment for her postpartum clients today. What will the nurse determine when assessing the fundus?