The nurse is palpating a patient’s uterus 12 hours after a vaginal delivery. For which reason does the nurse place one hand just above the symphysis pubis?
To prevent uterine prolapse
To prevent uterine hemorrhage
To prevent uterine inversion
To stabilize the lower uterine segment
The Correct Answer is D
The correct answer is choice D. To stabilize the lower uterine segment. Palpating the uterus after delivery helps to determine its size, firmness and rate of descent, which are indicators of its involution. The nurse places one hand just above the symphysis pubis to support the lower uterine segment and prevent it from being pushed down by the pressure of the other hand on the fundus. This prevents complications such as uterine inversion or prolapse.
Choice A is wrong because uterine prolapse is not prevented by placing one hand above the symphysis pubis, but by supporting the lower uterine segment with that hand.
Choice B is wrong because uterine hemorrhage is not prevented by placing one hand above the symphysis pubis, but by massaging the fundus to make it firm and contract the blood vessels.
Choice C is wrong because uterine inversion is not prevented by placing one hand above the symphysis pubis, but by stabilizing the lower uterine segment with that hand and avoiding excessive traction on the umbilical cord.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C. “I am starting to feel like I can handle being a mother.” This statement indicates that the client is in the informal stage of maternal role attainment, which is characterized by a sense of confidence and competence in the maternal role.
The client develops her own style of mothering and integrates feedback from others.
Choice A is wrong because it reflects the initial stage of maternal role attainment, which is marked by a strong emotional attachment to the newborn.
Choice B is wrong because it suggests that the client is in the formal stage of maternal role attainment, which involves learning the skills and behaviors of mothering from external sources such as healthcare providers and family members.
Choice D is wrong because it implies that the client is in the anticipatory stage of maternal role attainment, which occurs during
Correct Answer is B
Explanation
The correct answer is choice B. Attachment.
Attachment is the process of developing a strong emotional bond between the mother and the infant.
It is influenced by factors such as maternal hormones, infant cues, and environmental support.
Attachment behaviors include holding, touching, talking, and gazing at the infant.
Choice A is wrong because bonding is the initial attraction felt by the parents for their infant.
It usually occurs within the first few minutes or hours after birth and is facilitated by skin-to-skin contact.
Choice C is wrong because engrossment is the term used to describe the father’s absorption, preoccupation, and interest in the infant.
It involves visual awareness, tactile awareness, perception of newborn as perfect, strong attraction, awareness of distinct features, extreme elation, and increased sense of self-esteem.
Choice D is wrong because entrainment is the term used to describe the infant’s movement in response to speech.
The infant synchronizes his or her movements with the rhythm and pitch of the adult’s voice.
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