Author Question: The perinatal nurse demonstrates the correct technique of postpartum uterine palpation for a student ... (Read 38 times)

clippers! · **on:** Jun 28, 2018

The perinatal nurse demonstrates the correct technique of postpartum uterine palpation for a student nurse. The nurse explains that support for the lower uterine segment is critical, because without it there is an increased risk of which complication?

A.
Incorrect measurement
B.
Intensifying the patient's pain
C.
Uterine edema
D.
Uterine inversion

Question 2

The nurse is teaching a childbirth preparation class for women who will have planned cesarean births for medical need. What potential complications of this operation does the nurse describe?

A.
Chronic pain
B.
Sexual dysfunction
C.
Subsequent placental problems
D.
Urinary tract injury
E.
Wound dehiscence

Galvarado142 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
The uterine fundus is palpated by placing one hand on the base of the uterus immediately above the symphysis pubis and the other hand at the level of the umbilicus. The nurse presses inward and downward with the hand positioned on the umbilicus until the fundus is located. The uterus should never be palpated without supporting the lower uterine segment. Failure to do so may result in uterine inversion and hemorrhage.

Answer to Question 2

ANS: A, C, D, E
There are many possible maternal complications to cesarean birth, including chronic pain, placental problems in subsequent pregnancies, urinary tract injury, wound dehiscence, and adhesions. Sexual dysfunction is not a typical complication.