Practice Quiz

CNM Certified Nurse Midwife

Category - Postpartum

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A nurse midwife is assessing four clients who recently gave birth through vaginal delivery. A part of the examination is measuring the fundal height. Which of the following clients needs further evaluation?
  1. A client who gave birth 24 hours ago; the fundus is 1 fingerbreadth below the umbilicus.
  2. A client who gave birth one hour ago; the fundus is at the level of the umbilicus.
  3. A client who gave birth 72 hours ago; the fundus is 2 cm below the umbilicus.
  4. A client who gave birth 10 days ago; the fundus is non-palpable.
Explanation
Answer: C - A client who gave birth 72 hours ago is expected to have her fundus at 3 cm below the umbilicus. About an hour after birth, the fundus is normally palpated at the level of the umbilicus. The uterus usually descends downward at the rate of 1 fingerbreadth per day. It is usually non-palpable 10 days after the delivery.
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