To assess fundal contraction 6 hours after cesarean birth, which action should the nurse perform?
a. Assess lochial flow rather than palpating the fundus.
b. Palpate forcefully through the abdominal dressing.
c. Place hands on both sides of the abdomen and press downward.
d. Gently palpate, applying the same technique used for vaginal deliveries.
ANS: D
Assessment of the fundus is the same for vaginal and cesarean deliveries. Forceful palpation should never be used. The top of the fundus, not the sides, should be palpated and massaged. Assessing lochial flow is not adequate; the fundus also needs to be checked.
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