Author Question: Which assessment finding if present on the second day after a normal vaginal delivery would indicate ... (Read 49 times)

Haya94 · **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

ecabral0 · **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.