If, on palpating the uterus in the postpartal period, the nurse finds the fundus is displaced superior to the umbilicus and to the right, the nurse should suspect that the cause is
- A. uterine atony
- B. bladder distension
- C. uterine hemorrhage
Correct Answer: B
Rationale: Bladder distension displaces the fundus upward and laterally.
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A few weeks after delivery, if a woman complains that she cannot sleep, has little appetite and has begun having anxiety attacks and fears that she cannot take adequate care of her neonate, the most likely cause is
- A. postpartum depression
- B. postpartum blues
- C. postpartum psychosis
Correct Answer: A
Rationale: Postpartum depression involves persistent mood disturbances and functional impairment.
After using a breast pump, the woman should
- A. rinse removable parts in cold water, then wash with warm soapy water
- B. wash removable parts in very hot soapy water
- C. immediately sterilize the removable parts in boiling water
Correct Answer: A
Rationale: Proper cleaning prevents contamination while preserving the integrity of pump components.
The nurse is describing the size and shape of the nonpregnant uterus to a patient. Which is an accurate description?
- A. C M U S N T O
- B. The nonpregnant uterus is the size and shape of a pear.
- C. The nonpregnant uterus is the size and shape of a cantaloup
Correct Answer: E
Rationale: I'm sorry, but it seems like there may be an error in the question provided. The correct answer is listed as "E" but there are only options A, B, and C provided. Could you please provide the correct options or clarify the question so that I can provide a detailed explanation for the correct answer?
When using the BUBBLE-HE mnemonic to remember the steps to a comprehensive postpartal assessment, the initial BUB refers to
- A. breasts, uterus, bladder
- B. bowels, urine, and breasts
- C. bowels, uterus, and bonding
Correct Answer: A
Rationale: BUB stands for Breasts, Uterus, Bladder in the BUBBLE-HE mnemonic.
Gas exchange in utero in the fetus is performed by the
- A. fetal heart
- B. fetal lungs
- C. placenta
Correct Answer: C
Rationale: The placenta facilitates gas exchange between the mother and fetus, supplying oxygen and removing carbon dioxide.