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When discussing the need to support the lower uterine segment, which statement by the new nurse indicates understanding.

A.

"Supporting the uterus decreases the amount of pain."

B.

"This is necessary because the ligaments that hold the uterus are stretched."

C.

"This will decrease the severity of a uterine bleeding"

D.

"This will help with uterine involution."

Answer and Explanation

The Correct Answer is B

A. "Supporting the uterus decreases the amount of pain." Incorrect. While proper support may reduce discomfort, the primary reason is structural support.

B. "This is necessary because the ligaments that hold the uterus are stretched." Correct. The uterus is enlarged postpartum, and the ligaments are weakened, making support necessary.

C. "This will decrease the severity of uterine bleeding." Not the primary reason, though proper fundal massage can aid in hemorrhage prevention.

D. "This will help with uterine involution." Incorrect. Uterine involution is driven by hormonal changes and contractions, not just support.


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Related Questions

Correct Answer is A

Explanation

A. Correct. The priority is to assess the fundus for firmness and location. Uterine atony is a common cause of postpartum hemorrhage and requires immediate assessment and intervention.

B. Incorrect. Increased bleeding in a multiparous client should not be dismissed as normal without assessment.

C. Incorrect. Administering Pitocin may be appropriate but should follow an assessment of the fundus first.

D. Incorrect. Waiting an hour without assessing the fundus could delay necessary interventions for postpartum hemorrhage.

Correct Answer is A

Explanation

A. Correct. Engrossment refers to the father's intense interest in the newborn, including focused attention, touching, and bonding behaviors such as counting the baby's fingers and toes.

B. Pacing during delivery may indicate anxiety but does not reflect engrossment.

C. Expressing feeling overwhelmed and avoiding holding the baby suggests difficulty adjusting rather than engrossment.

D. Being present during delivery is supportive but does not specifically indicate engrossment.

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