2 OB Chapter 17 - Postpartum Physiologic
Adaptations Detailed Questions And Expert
Answers
Immediately after delivery the nurse can anticipate the fundus to be located:
at the umbilicus.
2 cm above the umbilicus.
1 cm below the umbilicus.
midway between the symphysis pubis and umbilicus. - ANS midway between the
symphysis pubis and umbilicus.
How large is the fundus?
What direction does the fundus move? - ANS Immediately after delivery the uterus
is about the size of a large grapefruit and the fundus can be palpated midway
between the symphysis pubis and umbilicus. Within 12 hours the fundus rises to
the level of the umbilicus. By the second day the fundus starts to descend
approximately 1 cm per day.
When reading the postpartum chart the nurse notices that the client's fundus is
recorded as "u+1". The nurse understands that this means the fundus is:
1 cm above the umbilicus.
1 cm below the umbilicus.
1 inch above the umbilicus.
, 1 inch below the umbilicus. - ANS 1 cm above the umbilicus.
How is the fundus measured? - ANS Descent of the fundus is documented in
relation to the umbilicus and is measured in centimeters. Numbers with the "+"
sign means the fundus is above the umbilicus, numbers with the "-" sign means
the fundus is below the umbilicus.
During the second postpartum day, a woman asks the nurse, "Why are my
afterpains so much worse this time than after the birth of my other child?" The
best answer by the nurse would be:
"Most women forget how strong the afterpains can be."
"They should not be strong with you because you are breastfeeding."
"You should not be feeling the pains now; I will notify the physician for you."
"Afterpains are more severe for women that have already had babies." - ANS
"Afterpains are more severe for women that have already had babies."
What causes afterpains? - ANS Afterpains are more acute for multiparas because
repeated stretching of muscle fibers leads to low muscle tone that results in
repeated contraction and relaxation of the uterus. Breastfeeding increases the
severity of afterpains. The afterpains are self-limiting and will decrease rapidly
after 48 hours.
The nurse is assessing the client's vaginal discharge. It is red and has about a 2-inch
stain on the peripad. The nurse will record this finding as:
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