The nurse palpates a postpartum client's fundus two hours after birth and finds it located to the right of midline and somewhat soft. What does the nurse understand about this information?
The uterine placement is normal
The urinary bladder is distended
The uterus is filled with blood
There is an infection inside the uterus
The Correct Answer is B
A. The uterine placement is not normal if it's to the right of midline. The fundus should be at the midline immediately after birth.
B. The urinary bladder is distended. A full bladder can displace the uterus and cause it to be off- center.
C. The uterus being filled with blood is not the primary reason for the displacement described.
It's more likely due to a distended bladder.
D. Infection inside the uterus is not the primary reason for the displacement described. A distended bladder is a more common cause.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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
Correct Answer is ["67"]
Explanation
To calculate the flow rate in mL/hr, we need to use the following formula:
Flow rate (mL/hr) = Dose (g/hr) x Volume (mL) / Concentration (g)
In this case, the dose is 2 g/hr, the volume is 1000 mL, and the concentration is 30 g. Plugging these values into the formula, we get:
Flow rate (mL/hr) = 2 x 1000 / 30 Flow rate (mL/hr) = 66.67
To follow the rounding rules, we need to round this answer to the nearest whole number.
Therefore, the flow rate in mL/hr is 67.
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