A nurse is caring for a client who experienced a vaginal delivery 12 hours ago. When palpating the client's abdomen, at which of the following positions should the nurse expect to find the uterine fundus?

2 cm above the umbilicus

At the level of the umbilicus

One fingerbreadth above the symphysis pubis

To the right of the umbilicus

Answer and Explanation

The Correct Answer is B

The correct answer is choice B. At the level of the umbilicus.

Choice A rationale:

The fundus is typically not found 2 cm above the umbilicus 12 hours postpartum. This position is more common immediately after delivery or in cases of uterine atony or retained placental fragments.

Choice B rationale:

At 12 hours postpartum, the uterine fundus is expected to be at the level of the umbilicus. This indicates normal involution of the uterus, where it contracts and shrinks back to its pre-pregnancy size.

Choice C rationale:

One fingerbreadth above the symphysis pubis is not a typical position for the fundus 12 hours after delivery. This position is more likely several days postpartum as the uterus continues to involute.

Choice D rationale:

The fundus being to the right of the umbilicus may indicate a full bladder, which can push the uterus to one side. This is not a normal finding 12 hours postpartum and would require intervention to empty the bladder.

: https://bchsfoutreach.ucsf.edu/sites/bchsfoutreach.ucsf.edu/files/handouts/Washington%20Hospital%20Postpartum%204-2018.pdf : https://nursekey.com/fundal-palpation-postpartum/

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Correct Answer is B

Explanation

Choice A reason:
Monitoring weight gain during pregnancy is important to ensure that the mother and baby are healthy. The expected weight gain during pregnancy varies depending on the mother's pre-pregnancy weight, but generally, a total gain of 25 to 35 pounds is considered normal for women of average weight.

Choice B reason:
While some nonprescription medications are safe during pregnancy, not all are, and it is crucial to consult with a healthcare provider before taking any medication, including over-the-counter ones. Certain medications can cause harm to the developing fetus and may lead to complications such as birth defects or other adverse outcomes.

Choice C reason:
Reducing stress is beneficial during pregnancy as high levels of stress can negatively impact both the mother and the developing fetus. Stress can lead to increased risks of preterm birth and low birth weight, and it can affect the baby's development. Therefore, implementing stress-reduction techniques is a positive step for a pregnant woman.

Choice D reason:
Informing the doctor before using home remedies for nausea is advisable. While many home remedies are safe and can be effective, such as ginger and peppermint, it is always best to discuss them with a healthcare provider to ensure they are appropriate and will not interfere with the pregnancy.

A. Large amount of vaginal bleeding B. Unilateral, cramp-like abdominal pain C. Uterine enlargement greater than expected for gestational age D. Severe nausea and vomiting

Correct Answer is B

Explanation

Choice A reason:

While vaginal bleeding can be associated with ectopic pregnancy, it is not typically characterized by a large amount. The bleeding is often described as spotting or light bleeding. A large amount of vaginal bleeding is more indicative of other conditions, such as a miscarriage or placental issues.

Choice B reason:

Unilateral, cramp-like abdominal pain is one of the hallmark signs of an ectopic pregnancy. This pain is usually felt on one side of the abdomen and can vary from mild to severe. It occurs due to the embryo implanting outside the uterus, most commonly in one of the fallopian tubes, which can cause irritation and discomfort as it grows.

Choice C reason:

Uterine enlargement greater than expected for gestational age is not a symptom of ectopic pregnancy. In fact, the uterus may not enlarge as much as expected because the embryo is not growing inside it. Ectopic pregnancies are often associated with a smaller-than-expected uterus for the gestational age.

Choice D reason:

Severe nausea and vomiting are not specific to ectopic pregnancy and can occur with any pregnancy. However, if these symptoms are accompanied by other signs of ectopic pregnancy, such as abdominal pain and vaginal bleeding, they may support the diagnosis.

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A nurse is caring for a client who experienced a vaginal delivery 12 hours ago. When palpating the client's abdomen, at which of the following positions should the nurse expect to find the uterine fundus?

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