The nurse prepares prescribed oxytocin, which is to be added to a client's intravenous infusion when the placenta has been delivered. The nurse determines that the placenta has separated and is about to be delivered when the
a. abdominal wall relaxes noticeably
b. client complains of urge to push
c. cord lengthens outside of the vagina
d. uterus falls below the level of the symphysis pubis
C
The apparent lengthening of the cord at the introitus occurs as the placenta descends into the lower uterine segment. After the placenta separates from the uterine wall, the fundus is firmly contracted. The placenta does not create the urge to push. The uterus does not fall below the level of the symphysis pubis until 6 weeks postpartum.
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