Which action is correct when palpation is used to assess the characteristics and pattern of uterine contractions?
a. Place the hand on the abdomen below the umbilicus and palpate uterine tone with the fingertips.
b. Determine the frequency by timing from the end of one contraction to the end of the next contraction.
c. Evaluate the intensity by pressing the fingertips into the uterine fundus.
d. Assess uterine contractions every 30 minutes throughout the first stage of labor.
ANS: C
The nurse or primary care provider may assess uterine activity by palpating the fundal section of the uterus using the fingertips. Many women may experience labor pain in the lower segment of the uterus that may be unrelated to the firmness of the contraction detectable in the uterine fundus. The frequency of uterine contractions is determined by palpating from the beginning of one contraction to the beginning of the next contraction. Assessment of uterine activity is performed in intervals based on the stage of labor. As labor progresses this assessment is performed more frequently.
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