The perinatal nurse demonstrates for the student nurse the correct technique of postpartum uterine palpation. Support for the lower uterine segment is critical, as without it, there is an increased risk of:
a. Uterine edema
b. Uterine inversion
c. Incorrect measurement
d. Intensifying the patient's level of pain
ANS: b
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a. Placing the hand over the base of the uterus does not cause uterine edema.
b. The uterine fundus is palpated by placing one hand on the base of the uterus immediately above the symphysis pubis and the other hand at the level of the umbilicus. The nurse presses inward and downward with the hand positioned on the umbilicus until the fundus is located. It should feel like a firm, globular mass located at or slightly above the umbilicus during the first hour after birth. The uterus should never be palpated without supporting the lower uterine segment. Failure to do so may result in uterine inversion and hemorrhage.
c. Measurement is the same with or without the hand supporting the lower uterine segment.
d. Not supporting the lower uterine segment has no effect on the level of pain felt by the patient.
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