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Unformatted text preview: n, London, and Ladewig, 2012). 7. Why is it important to assess a woman’s fundus after childbirth?
The state of the fundus indicates if the woman will still bleed or not. A firm fundus means that the
uterus is contraction and will prevent hemorrhage. A soft fundus means that the uterus is relaxed and
could still be bleeding or filling with blood; a soft uterus should contract with massage. If the fundus is
especially tender it can indicate infection. (Davidson, London, and Ladewig, 2012). F_2013 Joshua Fleming 8. Describe the correct procedure for evaluating and recording fundal height/descent post partally.
Fundal height is measured by placing a tape measure on the symphasis pubis and then over the
abdomen to the top of the fundus. The measurement is taken in centimeters. The height of the
fundus should correlate within plus or minus two centimeters to the gestational age between weeks
22 and 34. 9. Discuss the normal pattern of fundal descent after delivery. After birth, the uterus fills with blood, clots, and rises to the top of the umbilicus. The fundus will
remain at the level of the umbilicus for around 12 hours, and after 24 hours, the fundus should be about
1 centimeter below the level of the umbilicus. The fundus will continue to fall about 1 centimeter per
day until the 10th day at which point it should be in the pelvis. (Davidson, London, and Ladewig,
10. What should you ask the client to do before assessing her fundus?
Ask woman to void and if she would like to pre-medicate for potential pain as a result of cesarean
section. (Davidson, London, and Ladewig, 2012).
Why should you ask this?
A full bladder can cause uterine atony. The perioperative area will be tender from the c-section.
(Davidson, London, and Ladewig, 2012). 11. Describe/discuss client teaching you would implement with regard to sitz baths – i.e. purpose,
correct use, precautions, etc.
The purpose of sitz baths is based on the temperature of the water used. For warm water, they will
provide comfort, cleansing and increased circulation, which promotes healing and the prevention
of infection. Cool water baths are effective in reducing edema and decreasing pain. Allow the
patient to choose which of the two she prefers. Set up the bath and explain to the patient the
clamping mechanism and resulting flow that comes as a result. Also make sure the woman dries
perineum with a clean town and apply a new peri-pad. Also assist the patient in transferring on
and off of the sitz bath to reduce the risk of slipping on any possible spillage from the bath.
(Davidson, London, and Ladewig, 2012). F_2013 Joshua Fleming References
Davidson, M., London, M., & Ladewig, P. (2012). Old’s Maternal-Newborn Nursing & Women’s
Health. Upper Saddle River: Pearson Education, Inc. F_2013...
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- Fall '13