A nurse is caring for a client who experienced a vaginal delivery 8 hours ago.
When palpating the client's abdomen, at which of the following positions should the nurse expect to find the uterine fundus?.
To the right of the umbilicus.
2 cm above the umbilicus.
One fingerbreadth above the symphysis pubis.
At the level of the umbilicus.
The Correct Answer is D
The correct answer is choice D. At the level of the umbilicus.
Choice A rationale:
The uterine fundus is not typically found to the right of the umbilicus after delivery.
Choice B rationale:
The uterine fundus is not typically found 2 cm above the umbilicus after delivery.
Choice C rationale:
The uterine fundus is not typically found one fingerbreadth above the symphysis pubis after delivery.
Choice D rationale:
After delivery, the uterine fundus is typically found at the level of the umbilicus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A.
Choice A rationale:
Fetal heart tones detected by ultrasound are a positive sign of pregnancy because they provide direct evidence of a fetus.
Choice B rationale:
Breast tenderness is a presumptive sign of pregnancy, not a positive one, as it can be caused by other conditions such as premenstrual syndrome.
Choice C rationale:
A positive urine pregnancy test is a probable sign of pregnancy, not a positive one, as it measures the presence of hCG, a hormone produced during pregnancy. However, certain medications and medical conditions can also produce hCG.
Choice D rationale:
Fatigue is a presumptive sign of pregnancy, not a positive one, as it can be caused by various other conditions such as stress or illness.
Correct Answer is C
Explanation
The correct answer is choice C.
Choice A rationale:
While it’s important to monitor a newborn’s glucose level, it’s not the immediate priority following birth.
Choice B rationale:
Placing the infant in the bassinet is not the immediate priority. The newborn needs to be dried and warmed first to prevent hypothermia.
Choice C rationale:
Drying the newborn and placing it skin-to-skin on the mother helps prevent hypothermia and promotes bonding. This is the immediate priority.
Choice D rationale:
A full head-to-toe assessment is important, but it’s not the immediate priority following birth.
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