The nurse's assessment of a woman 18 hours after birth indicates ...

[Mr3Hunna]

The nurse's assessment of a woman 18 hours after birth indicates that the uterus is two fingerwidths above the umbilicus (u+2) and deviated to the right of the midline. What action should the nurse take first?
 
  a. Notify the doctor immediately.
  b. Massage the fundus to expel clots.
  c. Assist the woman to empty her bladder.
  d. Document findings and reassess in 30 mi-nutes.

Question 2

You are caring for a new mother. You would hypothesize that which family function is most important for achieving family stability?
 
  a. Affective function c. Health care function
  b. Economic function d. Socialization function

[InfiniteSteez]

Answer to Question 1

C
The nurse should assist the woman to empty her bladder. A displaced uterus above the umbilicus and deviated to the right indicates an overfilled bladder. If she is unable and there are no orders for catheterization, the health care provider should be notified. This issue should be addressed right away, before the displacement causes the uterus to become boggy.

Answer to Question 2

A
The affective function is defined as promoting the stability of the family members. Economic function allows the family to acquire and allocate adequate financial resources. Health care function is not one of the four functions of the family. Socialization function allows the children to become contributing members of society.