Fundus Facts
What is the expected location of the fundus 24 hours after delivery?
What is 1 fingerbreadth below the umbilicus and firm? (ATI Ch. 17)
What is the normal progression of lochia colors postpartum?
What is rubra → serosa → alba? (ATI Ch. 17)
What should the nurse check first when excessive bleeding is noted?
What is the fundal firmness and location?
What technique does the nurse use to assess the fundus?
What is support the lower uterine segment with one hand and palpate with the other?
Memory trick: What fruit does a firm, contracted uterus feel like?
What is a grapefruit?
What does a boggy uterus indicate, and what should the nurse do first?
What is uterine atony, and the nurse should perform fundal massage? (Rosdahl, Ch. 67)
What is a red flag with lochia rubra after day 3 postpartum?
What is return of bright red bleeding or large clots, indicating possible hemorrhage?
Why is frequent voiding important in postpartum care?
What is to prevent uterine displacement and encourage contraction?
What teaching should the nurse give regarding fundal self-assessment?
What is teach the client how to palpate a firm fundus and notify if soft or displaced?
What’s the term for a uterus that remains enlarged due to retained placental fragments?
What is subinvolution?
If the uterus is deviated to the right and above the umbilicus, what is the likely cause?
What is a full bladder? (ATI Ch. 17
What is the typical appearance of lochia serosa, and when does it occur?
What is pinkish-brown discharge, typically seen from day 4–10 postpartum?
Name two conditions a postpartum nurse should report immediately.
What are foul-smelling lochia and persistent uterine atony?
What position should the client be in during a fundal check?
What is supine with knees slightly flexed?
What is the difference between lochia rubra and hemorrhage?
What is rubra is expected in small/moderate amounts; hemorrhage involves heavy bright red bleeding with clots?
Name one serious complication associated with failure of the uterus to contract postpartum.
What is postpartum hemorrhage?
Malodorous lochia most likely indicates what complication?
What is infection or endometritis?
What education should the nurse provide about pad count documentation?
What is to help monitor lochia amount and detect hemorrhage early?
Why should the nurse avoid pushing down on an uncontracted uterus?
What is to prevent inversion of the uterus? (ATI Ch. 17)
How can the nurse remember the stages of lochia?
What is “Rubra-Red, Serosa-Salmon, Alba-White”
After fundal massage, the uterus remains boggy. What is the next nursing action?
What is notify the provider and administer uterotonics (e.g., oxytocin) as ordered?
If a postpartum client soaks a perineal pad in 15 minutes, what term and response apply?
What is excessive lochia, and the nurse should assess fundus and vital signs immediately?
What does "scant lochia" mean in objective nursing terms?
What is less than 2.5 cm stain on the perineal pad in 1 hour?
Which intervention promotes uterine involution?
What is encouraging breastfeeding (stimulates oxytocin release)?
I teach that lochia can last for this long postpartum.
What is up to 6 weeks (especially alba)