The nurse is palpating a patient’s uterus 12 hours after a vaginal delivery. For which reason does the nurse place one hand just above the symphysis pubis?
To prevent uterine prolapse
To prevent uterine hemorrhage
To prevent uterine inversion
To stabilize the lower uterine segment
The Correct Answer is D
The correct answer is choice D. To stabilize the lower uterine segment. Palpating the uterus after delivery helps to determine its size, firmness and rate of descent, which are indicators of its involution. The nurse places one hand just above the symphysis pubis to support the lower uterine segment and prevent it from being pushed down by the pressure of the other hand on the fundus. This prevents complications such as uterine inversion or prolapse.
Choice A is wrong because uterine prolapse is not prevented by placing one hand above the symphysis pubis, but by supporting the lower uterine segment with that hand.
Choice B is wrong because uterine hemorrhage is not prevented by placing one hand above the symphysis pubis, but by massaging the fundus to make it firm and contract the blood vessels.
Choice C is wrong because uterine inversion is not prevented by placing one hand above the symphysis pubis, but by stabilizing the lower uterine segment with that hand and avoiding excessive traction on the umbilical cord.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is A. Decreased hematocrit and hemoglobin levels.This is because postpartum hemorrhage can lead to hypovolemia which can cause a decrease in hematocrit and hemoglobin levels.Increased white blood cell and platelet counts (option B) are not expected findings in postpartum hemorrhage.Decreased prothrombin time and partial thromboplastin time (option C) are not expected findings in postpartum hemorrhage.Increased fibrinogen and fibrin degradation products (option D) are not expected findings in postpartum hemorrhage.
Correct Answer is D
Explanation
Formula feeding increases risk for infection in infants.This is because breast milk contains antibodies and other germ-fighting factors that help protect the baby from infections, such as ear infections, diarrhea, respiratory infections and meningitis.Breast milk also provides ideal nutrition and is easily digested by the baby.
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