Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
When palpating the client's abdomen, at which of the following positions should the nurse expect to find the uterine fundus?.
A. To the right of the umbilicus.
The uterine fundus is not typically found to the right of the umbilicus after delivery.
B. 2 cm above the umbilicus.
The uterine fundus is not typically found 2 cm above the umbilicus after delivery.
C. One fingerbreadth above the symphysis pubis.
The uterine fundus is not typically found one fingerbreadth above the symphysis pubis after delivery.
D. At the level of the umbilicus.
After delivery, the uterine fundus is typically found at the level of the umbilicus.
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Custom 2023 Fall NPRO 1100 Proctored Exam 3. Take the full exam now
Full Explanation
The correct answer is choice D. At the level of the umbilicus.
Choice A rationale:
The uterine fundus is not typically found to the right of the umbilicus after delivery.
Choice B rationale:
The uterine fundus is not typically found 2 cm above the umbilicus after delivery.
Choice C rationale:
The uterine fundus is not typically found one fingerbreadth above the symphysis pubis after delivery.
Choice D rationale:
After delivery, the uterine fundus is typically found at the level of the umbilicus.
Similar Questions
A nurse has been assigned to assess a pregnant client for abruptio placenta.
For which classic manifestation of this condition should the nurse assess?.
A. Generalized vasospasm.
Generalized vasospasm is not a symptom of abruptio placenta. It is more associated with conditions like preeclampsia.
B. Painless bright red vaginal bleeding.
Abruptio placenta is usually associated with painful dark red vaginal bleeding, not painless bright red bleeding.
C. "Knife-like" abdominal pain with vaginal bleeding.
“Knife-like” abdominal pain with vaginal bleeding is a classic symptom of abruptio placenta.
D. Increased fetal movement.
Increased fetal movement is not a symptom of abruptio placenta. In fact, fetal movement may decrease due to distress.
Full Explanation
The correct answer is choice C.
Choice A rationale:
Generalized vasospasm is not a symptom of abruptio placenta. It is more associated with conditions like preeclampsia.
Choice B rationale:
Abruptio placenta is usually associated with painful dark red vaginal bleeding, not painless bright red bleeding.
Choice C rationale:
“Knife-like” abdominal pain with vaginal bleeding is a classic symptom of abruptio placenta.
Choice D rationale:
Increased fetal movement is not a symptom of abruptio placenta. In fact, fetal movement may decrease due to distress.
A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor.
Which of the following findings confirm to the nurse that the client is in labor?.
A. Brownish vaginal discharge.
Brownish vaginal discharge can be a sign of labor but it is not definitive.
B. Cervical dilation.
Cervical dilation is a definitive sign that labor has started.
C. Amniotic fluid in the vaginal vault.
Presence of amniotic fluid in the vaginal vault can indicate rupture of membranes but it does not confirm labor.
D. Report of pain above the umbilicus.
Pain above the umbilicus is not a typical sign of labor.
Full Explanation
The correct answer is choice B.
Choice A rationale:
Brownish vaginal discharge can be a sign of labor but it is not definitive.
Choice B rationale:
Cervical dilation is a definitive sign that labor has started.
Choice C rationale:
Presence of amniotic fluid in the vaginal vault can indicate rupture of membranes but it does not confirm labor.
Choice D rationale:
Pain above the umbilicus is not a typical sign of labor.
A nurse is caring for a client who experienced a vaginal birth 12 hr ago.
The nurse recognizes the client is in the dependent, taking in phase of maternal postpartum adjustment.
Which of the following findings should the nurse expect during this phase?.
A. Focus on the family unit and its members.
Focus on the family unit and its members is more characteristic of the “letting-go” phase.
B. Expressions of excitement.
Expressions of excitement are common in the dependent, taking in phase as the mother is focused on her own needs and the experience of childbirth.
C. Eagerness to learn newborn care skills.
Eagerness to learn newborn care skills is more characteristic of the “taking-hold” phase.
D. Lack of appetite.
Lack of appetite is not a typical characteristic of the dependent, taking in phase.
Full Explanation
The correct answer is choice B.
Choice A rationale:
Focus on the family unit and its members is more characteristic of the “letting-go” phase.
Choice B rationale:
Expressions of excitement are common in the dependent, taking in phase as the mother is focused on her own needs and the experience of childbirth.
Choice C rationale:
Eagerness to learn newborn care skills is more characteristic of the “taking-hold” phase.
Choice D rationale:
Lack of appetite is not a typical characteristic of the dependent, taking in phase.