The nurse is completing a fundal assessment for her postpartum clients today. What will the nurse determine when assessing the fundus?
Shape, tone and height
Tone, position and height
Tone, shape and position
Shape, height and position
The Correct Answer is C
A. While shape and height are important aspects, tone is also a key component in assessing the fundus after childbirth.
B. Position is part of the assessment, but the shape and tone are equally crucial components.
C. This choice correctly includes all the essential aspects of a fundal assessment: tone, shape, and position.
D. While shape and height are important, tone and position are equally vital components in assessing the fundus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Early decelerations are generally considered benign and not an indication for a vaginal exam unless other concerning factors are present.
B. Promptly informing the primary care provider may not be necessary for early decelerations, which are often a normal response to head compression.
C. Continuous monitoring and observation of the client and fetal heart rate are appropriate for early decelerations, especially when the baseline is reassuring and there is moderate variability.
D. Repositioning the client to the left side is a general measure for optimizing fetal oxygenation, but it may not be the priority in the case of early decelerations, which are usually benign and
related to head compression.
Correct Answer is C
Explanation
A. Uterine atony is characterized by a boggy and enlarged uterus, not a firm one.
B. A cervical laceration would typically present with bleeding and possibly a deviation of the uterus from the midline, but the firm uterus suggests a different cause.
C. Continuous seepage of bright red blood, along with a firm uterus, 1 cm below the umbilicus, and midline, is indicative of retained placental fragments.
D. A urinary tract infection would not typically cause continuous bright red blood seepage from the vagina.
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