A nurse is caring for a patient who had a vaginal delivery 12 hours ago.
Where should the nurse expect to find the uterine fundus when palpating the patient’s abdomen?
2 cm above the umbilicus.
One fingerbreadth above the symphysis pubis.
At the level of the umbilicus.
To the right of the umbilicus.
The Correct Answer is A
Choice A rationale
At about 12 hours after delivery, the uterine fundus can be palpated at 1 cm above the umbilicus. This is the correct answer.
Choice B rationale
One fingerbreadth above the symphysis pubis is not where the uterine fundus is expected to be found 12 hours after a vaginal delivery.
Choice C rationale
At the level of the umbilicus is not where the uterine fundus is expected to be found 12 hours after a vaginal delivery.
Choice D rationale
To the right of the umbilicus is not where the uterine fundus is expected to be found 12 hours after a vaginal delivery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Hyperglycemia, or high blood sugar, is a condition that is most commonly seen in individuals with diabetes. Symptoms can include frequent urination, increased thirst, and increased hunger. If left untreated, it can lead to serious complications such as diabetic ketoacidosis.
Choice B rationale
Anemia is a condition characterized by a decrease in the total amount of red blood cells or hemoglobin in the blood, or a lowered ability of the blood to carry oxygen. Symptoms can include fatigue, weakness, pale or yellowish skin, irregular heartbeats, shortness of breath, dizziness or lightheadedness, and chest pain.
Choice C rationale
Type 1 diabetes mellitus is a chronic condition in which the pancreas produces little or no insulin, a hormone needed to allow sugar (glucose) to enter cells to produce energy. The far more common type 2 diabetes occurs when the body becomes resistant to insulin or doesn’t make enough insulin.
Choice D rationale
Hypertension, or high blood pressure, is a common condition in which the long-term force of the blood against your artery walls is high enough that it may eventually cause health problems, such as heart disease. If the nurse is reviewing the client’s medical records and actions to be taken, it is likely that the client is experiencing hypertension.
Correct Answer is A
Explanation
Choice A rationale
At about 12 hours after delivery, the uterine fundus can be palpated at 1 cm above the umbilicus. This is the correct answer.
Choice B rationale
One fingerbreadth above the symphysis pubis is not where the uterine fundus is expected to be found 12 hours after a vaginal delivery.
Choice C rationale
At the level of the umbilicus is not where the uterine fundus is expected to be found 12 hours after a vaginal delivery.
Choice D rationale
To the right of the umbilicus is not where the uterine fundus is expected to be found 12 hours after a vaginal delivery.
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