A nurse is collecting data from a client who is 8 hr postpartum. Where should the nurse expect to find the fundus?

At a non-palpable depth

At the umbilicus

2 cm below the umbilicus

Just above the symphysis pubis

Answer and Explanation

The Correct Answer is B

A. At a non-palpable depth – Incorrect; the fundus is still palpable in the immediate postpartum period.
B. At the umbilicus – Correct; at 8 hours postpartum, the fundus is typically at the level of the umbilicus.
C. 2 cm below the umbilicus – Incorrect; the fundus begins to descend around 24 hours postpartum.
D. Just above the symphysis pubis – Incorrect; this occurs around day 10 postpartum.

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Correct Answer is C

Explanation

A. Picture book about hospitals – Incorrect; a picture book may help older children but is not as effective for a 2-year-old experiencing separation anxiety.

B. Toy hammer and pounding board – These toys can be good for physical activity, but they might not be calming during a stressful tantrum.

C. Stuffed animal – Correct; comfort objects help reduce anxiety and provide security in an unfamiliar environment.

D. Set of building blocks – Incorrect; blocks help with fine motor development but do not directly address stress relief as well as other options.

A. "I am going to listen to your tic tock." B. "Can I listen to your how you are breathing." C. "I am going to take your blood pressure now with a big hug." D. "Can you stand very still while I feel how warm you are?"

Correct Answer is ["A","C"]

Explanation

A. "I am going to listen to your tic tock." – Correct; using child-friendly language helps reduce fear and anxiety.

B. "Can I listen to how you are breathing?" – Incorrect; although polite, it does not make the procedure less intimidating for a toddler.

C. "I am going to take your blood pressure now with a big hug." – Correct; describing the blood pressure cuff as a hug makes the procedure less scary.

D. "Can you stand very still while I feel how warm you are?" – Incorrect; this is not developmentally appropriate, as toddlers may not understand instructions well.

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A nurse is collecting data from a client who is 8 hr postpartum. Where should the nurse expect to find the fundus?

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