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 B

Explanation

A. Second stage, active phase – Incorrect; the second stage begins at 10 cm dilation, not 7 cm.
B. First stage, active phase – Correct; the active phase of the first stage occurs from 6-10 cm dilation and includes increased discomfort and pressure.
C. First stage, latent phase – Incorrect; the latent phase occurs 0-5 cm dilation, before active labor.
D. Second stage, latent phase – Incorrect; the second stage starts at 10 cm when pushing begins.

A. The contractions are regular B. The cervix is fully dilated. C. The membranes have ruptured D. The provider has ruptured the membranes

Correct Answer is B

Explanation

A. The contractions are regular – Incorrect; regular contractions occur throughout labor, not just in the second stage.

B. The cervix is fully dilated. – Correct; the second stage of labor begins when the cervix is completely dilated (10 cm), allowing for pushing and delivery.

C. The membranes have ruptured – Incorrect; rupture of membranes can occur at any stage of labor.

D. The provider has ruptured the membranes – Incorrect; artificial rupture (amniotomy) does not determine the start of the second stage.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In which stage and phase of labor is the client who is at 7 cm of cervical dilation and 100% effacement, with the fetus at 1 station and intact amniotic membranes, and reporting the urge to push?

Correct Answer is B

Explanation

A nurse is caring for a client in labor. The nurse determines that the client is beginning in the second stage of labor when which of the following assessments is noted?

Correct Answer is B

Explanation

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