Practice Question
On postpartum day 1, a client has a firm fundus deviated to the right and reports bladder fullness. Which is the best action?
Answer Choices:
Correct Answer:
Assist the client to void and reassess the uterus
Rationale:
🌼 A firm fundus displaced to the right commonly indicates a distended bladder that is pushing the uterus out of its midline position.
🌼 A full bladder can interfere with uterine contraction, increasing the risk of postpartum hemorrhage.
🌼 The nurse should first assist the client to void to allow the uterus to return to the midline and maintain firm tone.
🌼 After voiding, reassessing the fundus ensures proper uterine involution and confirms that the bladder was the cause of the deviation.
Want to practice more questions like this?
This question is from NURS226 FALL 2025 BXB EXAM 2 (1) which contains 50 questions.
More Questions from This Exam
Which nursing interventions promote comfort and healing after perineal laceration? (Select all that apply.)
Answer Choices:
A. Provide sitz baths after the first 24 hours.
B. Encourage use of harsh soaps for cleaning.
C. Apply ice packs for the first 24 hours.
D. Teach perineal hygiene (peri-battle, front-to-back cleansing).
E. Offer prescribed analgesics and stool softeners.
During a prenatal exam, the nurse notes a softening of the cervix (Goodell's sign). This finding is;
Answer Choices:
A. Subjective
B. Diagnostic
C. Positive
D. Objective
Which pelvic type is most favorable for vaginal delivery?
Answer Choices:
A. Android
B. Platypelloid
C. Gynecoid
D. Anthropoid
The nurse encourages upright or squatting positions during the second stage of labor because these positions:
Answer Choices:
A. Reduce uterine perfusion
B. Increase pain and risk of lacerations
C. Increase pelvic diameters and aid fetal descent
D. Decrease pelvic diameters and shorten labor
A nurse is providing teaching to a postpartum client about lactation suppression. Which statement indicates understanding?
Answer Choices:
A. "I will apply warm compresses to reduce swelling."
B. I will massage my breasts daily."
C. I will wear a supportive bra continuously."
D. 'I should pump my breasts occasionally to relieve discomfort."
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Maternal-Child
- Answer Choices: 4