CNM Certified Nurse Midwife

Category - Postpartum

A nurse midwife is about to perform a fundal assessment on a client who gave birth to a 7-pound female newborn. Which of the following nursing interventions is the most appropriate when preparing the client for fundal assessment?
  1. Offer 1 to 2 glasses of water.
  2. Assist the client in assuming the lithotomy position.
  3. Instruct the client to void.
  4. Assist the client in assuming a modified Sims position.
Explanation
Answer: C - Before fundal assessment, the nurse midwife should instruct the client to void. Emptying the bladder before the examination increases the accuracy of the results. The client should lie on her back with the knees bent.
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