On day four following the birth of an average size baby, the ...

[charchew]

On day four following the birth of an average size baby, the nurse would expect the fundus to be at:
 
  a. 1 cm below umbilicus
  b. 2 cm below umbilicus
  c. 3 cm below umbilicus
  d. 4 cm below umbilicus

Question 2

A nurse is performing a postpartum assessment 30 minutes after a vaginal delivery. Which of the following actions indicates that the nurse is performing the assessment correctly?
 
  a. The nurse measures the fundal height in relation to the symphysis pubis.
  b. The nurse monitors the client's central venous pressure.
  c. The nurse assesses the client's perineum for edema and ecchymoses.
  d. The nurse performs a sterile vaginal speculum exam.

[meow1234]

Answer to Question 1

ANS: d
Feedback
a. Expected location for day 1
b. Expected location for day 2
c. Expected location for day 3
d. Correct. The uterus on the average descends 1 centimeter per day.

Answer to Question 2

ANS: c
Feedback
a. The fundal height should be measured in relation to the umbilicus.
b. The central venous pressure is not monitored during postpartum assessments.
c. The nurse should assess the perineum for signs of edema and ecchymoses.
d. If a speculum exam were needed, a physician or midwife would perform the procedure. Speculum exams are rarely needed postpartum.