The nurse assesses the postpartum client's fundal height and tone in the first 24 hours. Which action will the nurse take to correctly assess the uterine fundus?
Placing index and middle fingers across the uterus
Placing a gloved hand just above the symphysis pubis
Palpating the abdomen while feeling the uterine fundus
Massaging the fundus vigorously to expel any blood clots
The Correct Answer is C
A. Placing fingers across the uterus is not a standard technique for assessing the uterine fundus postpartum. Palpation is typically performed on the abdomen.
B. Placing a gloved hand just above the symphysis pubis is more related to assessing descent and engagement of the fetal head during labor, not uterine fundal height.
C. Palpating the abdomen while feeling the uterine fundus allows the nurse to assess the fundal height, tone, and position.
D. Massaging the fundus vigorously to expel blood clots is not a recommended practice; gentle massage is performed to assess tone and firmness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["67"]
Explanation
To calculate the flow rate in mL/hr, we need to use the following formula:
Flow rate (mL/hr) = Dose (g/hr) x Volume (mL) / Concentration (g)
In this case, the dose is 2 g/hr, the volume is 1000 mL, and the concentration is 30 g. Plugging these values into the formula, we get:
Flow rate (mL/hr) = 2 x 1000 / 30 Flow rate (mL/hr) = 66.67
To follow the rounding rules, we need to round this answer to the nearest whole number.
Therefore, the flow rate in mL/hr is 67.
Correct Answer is ["A","B","D","E"]
Explanation
A. Preparing the client for emergency cesarean delivery is often necessary when a prolapsed umbilical cord is identified.
B. Positioning the client in a knee-chest position helps alleviate pressure on the umbilical cord, improving fetal oxygenation.
C. Inserting a vacuum suction catheter into the vagina and pushing the infant back into the uterus is not a recommended intervention for a prolapsed umbilical cord; this action may cause harm to the fetus.
D. Keeping a gloved hand in the vagina and pushing upward on the presenting part helps relieve pressure on the umbilical cord.
E. Contacting the provider and reporting a prolapsed umbilical cord is essential for prompt communication and decision-making.
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