The nurse palpates a postpartum client's fundus two hours after birth and finds it located to the right of midline and somewhat soft. What does the nurse understand about this information?
The uterine placement is normal
The urinary bladder is distended
The uterus is filled with blood
There is an infection inside the uterus
The Correct Answer is B
A. The uterine placement is not normal if it's to the right of midline. The fundus should be at the midline immediately after birth.
B. The urinary bladder is distended. A full bladder can displace the uterus and cause it to be off- center.
C. The uterus being filled with blood is not the primary reason for the displacement described.
It's more likely due to a distended bladder.
D. Infection inside the uterus is not the primary reason for the displacement described. A distended bladder is a more common cause.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is A
Explanation
A. An epidural provides comprehensive pain relief by blocking sensation from the waist down, making it an effective option for clients experiencing intense pain during labor.
B. Effleurage (massage or light stroking) may provide some comfort but may not be sufficient for the described level of pain.
C. Opioids can provide pain relief but may not be as effective in managing the intense pain of contractions in active labor.
D. Sedatives may not be the best choice during active labor as they can have a sedating effect on both the mother and the baby, potentially affecting the progress of labor.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today