To assess fundal contraction 6 hours after cesarean delivery, the ...

[s.tung]

To assess fundal contraction 6 hours after cesarean delivery, the nurse should
 
  a. Palpate forcefully through the abdominal dressing.
  b. Gently palpate, applying the same technique used for vaginal deliveries.
  c. Place hands on both sides of the abdomen and press downward.
  d. Rely on assessment of lochial flow rather than palpating the fundus.

Question 2

The most important nursing action in preventing neonatal infection is
 
  a. Good handwashing
  b. Isolation of infected infants
  c. Separate gown technique
  d. Standard Precautions

[jasonq]

Answer to Question 1

B
Feedback
A Forceful palpation should never be used.
B Assessment of the fundus is the same for both vaginal and cesarean deliveries;
however, palpation should be gentle due to increased discomfort caused by the
uterine incision.
C The top of the fundus, not the sides, should be palpated and massaged.
D The fundus should be palpated and massaged to prevent bleeding.

Answer to Question 2

A
Feedback
A Virtually all controlled clinical trials have demonstrated that effective
handwashing is responsible for the prevention of nosocomial infection in nursery
units.
B Overcrowding must be avoided in nurseries and infants with infectious processes
should be isolated; however, the most important nursing action for preventing
neonatal infection is effective handwashing.
C Separate gowns should be worn in caring for each individual infant. Soiled
linens should be disposed of in an appropriate manner; however, the most
important nursing action for preventing neonatal infection is effective
handwashing.
D Measures to be taken include Standard Precautions, careful and thorough
cleaning, frequent replacement of used equipment, and disposal of excrement
and linens in an appropriate manner. The most important nursing action for
preventing neonatal infection is effective handwashing.

[s.tung]

Excellent

[amit]

TYSM