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Author Question: Which assessment finding if present on the second day after a normal vaginal delivery would indicate ... (Read 51 times)

Haya94

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on: Jun 27, 2018
Which assessment finding if present on the second day after a normal vaginal delivery would indicate that involution was not occurring satisfactorily?
 
  a. Fundal height two fingerwidths above the umbilicus
  b. Peripad changed every 4 to 5 hours with reddish, brown blood
  c. Red clot, 2-centimeter diameter, expelled from vagina while urinating
  d. Urination of blood-tinged urine

Question 2

You are caring for a woman who has been told that her baby will be born with a congenital anomaly. The woman tells you, I know my baby will be fine. The tests are incorrect. You recognize that your patient is in which stage of grieving?
 
  a. Denial c. Bargaining
  b. Anger d. Resolution


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ecabral0

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Reply #1 on: Jun 27, 2018
Answer to Question 1

A
Fundal height two fingerwidths above the umbilicus indicates bladder distention. The normal fundal height on the second day postpartum should be 3 to 4 cm below the level of the umbilicus. Peripad changed every 4 to 5 hours with reddish, brown blood is a normal finding as the lochia is beginning the transition from rubra to serosa. Red clot, 2-centimeter diameter, expelled from vagina while urinating is a normal finding after lying down and then sitting, standing, or ambulating, due to the pooled vagina discharge being expelled. Blood-tinged urine is usually the result of urine mixing with lochia during urination.

Answer to Question 2

A
The woman is in the stage of denying what has occurred.


Haya94

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Reply 2 on: Jun 27, 2018
Gracias!

at

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Reply 3 on: Yesterday
Great answer, keep it coming :)

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