A nurse is collecting data from a client who is 12 hr postpartum following a
spontaneous vaginal delivery. The nurse should expect to find the uterine
fundus at which of the following positions on the client’s abdomen?
At the level of the umbilicus
Within 12 hr, the fundus should rise to the level of the umbilicus and then recede 1 to 2 cm each day.
A nurse is caring for a client who is 4 hr postpartum. The nurse finds a small
amount of lochia rubra on the client's perineal pad. The fundus is midline and
firm at the umbilicus. Which of the following actions should the nurse take?
Perform fundal massage
The nurse notes that the fundus is midline and firm; therefore, fundal massage is not indicated at this time.
A nurse is preparing to palpate the uterine fundus of a client who is at 22
weeks of gestation to measure fundal height. At which of the following
locations should the nurse expect to find the fundus?
, At the umbilicus
At 22 weeks of gestation, the fundal height should be around the level of the umbilicus. The distance in
centimeters from the symphysis pubis to the top of the fundus is a rough estimate of gestational age.
A nurse is caring for a client in the prenatal clinic who is at 7 weeks of
gestation. The client reports urinary frequency and asks the nurse if this will
continue throughout her pregnancy. Which of the following responses by the
nurse is appropriate?
"No, it should only last until about your 12th week, but it will return near the end of the pregnancy."
Urinary frequency usually disappears at about 12 weeks of gestation but returns near term as the enlarging
uterus presses on the bladder. It can also worsen following fetal descent.
A nurse in a prenatal clinic overhears a newly licensed nurse discussing
conception with a client. Which of the following statements by the newly
licensed nurse requires intervention by the nurse?
“Implantation occurs between two and three weeks after conception.”
ANSWER
This statement requires clarification because implantation follows conception within 6 to 10 days.