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Practice Question

The nurse is evaluating the uterine involution of a client who is 3 days postpartum. Which finding should the nurse evaluate as normal?

Answer Choices:

Correct Answer:

Fundus 3 cm below the umbilicus, lochia rubra

Rationale:

💠Uterine involution is the return of the uterus to its pre-pregnancy size and position.

💠Immediately after birth, the fundus is at the level of the umbilicus. It descends about 1 cm per day. By day 3 postpartum, the fundus is expected to be about 3 cm below the umbilicus.

💠Lochia rubra (red, bloody discharge) normally persists for the first 3–4 days after delivery. Transition to lochia serosa occurs around days 4–10, followed by lochia alba after day 10.

💠The other options are not appropriate:

Fundus above the umbilicus by day 3 indicates abnormal involution or uterine atony.

Lochia serosa or alba would be too early at day 3.

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This question is from PN NJ Eve OB-Peds Exam 2...2025 - Teterboro Eve 2 which contains 77 questions.

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PN NJ Eve OB-Peds Exam 2...2025 - Teterboro Eve 2

77 Questions

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Question Details
  • Category: LPN Nursing Exam(s)
  • Subcategory: 💎Examplify-PN
  • Domain: 👩🏻‍🤝‍👩🏻Pediatrics-PN
  • Answer Choices: 4
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