Practice Question
The nurse has received shift report on the postpartum unit. Which patient should the nurse see first?
Answer Choices:
Correct Answer:
First baby, day of delivery, fundus 2 cm above umbilicus deviated to left.
Rationale:
🔴 A fundus that is above the umbilicus and deviated to the left suggests a full bladder, which can interfere with uterine involution and increase the risk of postpartum hemorrhage.
🔴 This patient is immediately postpartum, and uterine tone and position must be closely monitored to prevent excessive bleeding.
🔴 The nurse should assess the bladder and assist the patient to void, which often helps the uterus return to midline and firm position.
🔴 The other findings (hypoactive bowel sounds, diastasis recti, lochia serosa on day 3) are expected or non-urgent postpartum conditions.
🔴 Prompt attention to this patient can prevent a serious complication, making her the top priority.
Want to practice more questions like this?
This question is from Maternity exam 2 ( Samuel Merit University) which contains 49 questions.
More Questions from This Exam
A patient delivered 2 hours ago without medication. She is alert and active in bed but has not been out of bed yet. She states she needs to go the bathroom. What is the nurse's most appropriate response?
Answer Choices:
The nurse is teaching a newborn care class to parents who are about to give birth to their first babies. Which statement indicates that teaching was effective?
Answer Choices:
A full term newborn was just born. Which nursing intervention is important for the nurse to perform first?
Answer Choices:
A mother asks whether or not she should be concerned that her baby never opens his mouth to breathe when his nose is so small. Which of the following is the nurse's best response?
Answer Choices:
Part of the health assessment of a newborn includes observation of the neonate's breathing pattern. A full-term newborn's breathing pattern is predominantly:
Answer Choices:
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: 🤱🏼Maternity & Newborn Care
- Answer Choices: 4