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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?

A.

At a non-palpable depth

B.

At the umbilicus

C.

2 cm below the umbilicus

D.

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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Related Questions

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

Explanation

A. Quickening – Incorrect; quickening (fetal movement) is a presumptive sign of pregnancy.
B. Amenorrhea – Incorrect; absence of menstruation is a presumptive sign of pregnancy.
C. Ballottement – Correct; ballottement is a probable sign, not a presumptive sign, as it is detected by a healthcare provider.
D. Increased urination – Incorrect; frequent urination is a presumptive sign of pregnancy.
E. Positive pregnancy test via blood work – Correct; a positive pregnancy test is a probable sign, not a presumptive one.

Correct Answer is C

Explanation

A. Avoid the use of aspirin. – Incorrect; aspirin use is not a major risk factor for neural tube defects (NTDs).

B. Avoid consumption of alcohol. – Incorrect; alcohol consumption can cause fetal alcohol syndrome, but it is not directly linked to NTDs.

C. Eat foods fortified with folic acid. – Correct; folic acid is essential for neural tube development, and adequate intake reduces the risk of NTDs, such as spina bifida and anencephaly.

D. Increase intake of iron. – Incorrect; iron is crucial for preventing anemia in pregnancy but does not significantly impact NTD risk.

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