Full TranscriptHi, I'm Meris with Level Up RN. And in this video, I'm going to be starting off our postpartum care by talking about assessing a
patient's fundus and lochia. I'm going to be following along using our maternity flashcards. These are available on our website, leveluprn.com if you want to grab a set for yourself, and if you already have your own deck, I would invite you to follow along with me. All right. Let's get started. So, first up, we're going to be talking about assessing a patient's fundus. I think it's helpful to know what a fundus is before we get started. So the fundus is the topmost portion of the uterus, and
that is the part that you can actually palpate from the outside to assess it, see how it feels, and see where it is. So you'll see that, on this card here, we have a bunch of bold, red text, which means that we think it's pretty important for your nursing practice. One of the things that we have on here is that you need to assess the fundal height, and we'll talk about that in a minute. But what you're going to be doing is feeling where it is in relation to the rest of the patient's abdomen. So
is it at the level of the umbilicus? Is it above it? Is it below it? We need to know where it is and specifically, we want to see how it's trending, if it's going down, if it's coming up, what's going on with it. Then we have on here in bold red that, if the fundus is displaced laterally, that this means that the patient needs to empty their bladder. Show 5 ResponsesJoan September 30, 2022 If a patient has 9cm of stain in the pad, it will be documented as 3.6 quartz of bleeding and possibly a hemorrhage. It should be a concern and should be reported to the obstetrician. Joan September 30, 2022 Your explanation is very simplified and straight to the point shevonne May 25, 2022 Hello I have a questions. How many cards are there in the stack for Maternal New Born and Pregnancy complications? johanna May 04, 2022 I like the way you explain.I am going to have Maternal and baby care Monday so I am trying to watch all your videos. Once I go back work I am going to save to buy all your cards. sewnaw January 17, 2022 i didn’t know what to look forward yo for this class and faith brought me to you and i wonder if you are teaching form the text book i am using its he first time i study for an exam and put my book away the night and said ok I’m ready i did my exam the next morning i go an 82 thank you so much continue to do these videos God bless you. Leave a commentComments will be approved before showing up. Where will the nurse expect to palpate the uterine fundus?At 16 weeks gestation, the fundus of the uterus can be palpated at the midpoint between the umbilicus and the pubic symphysis. At 20 weeks gestation, the fundus can be palpable at the level of the umbilicus.
Where would you expect to locate the fundus?The fundus is the top portion of your uterus. They may press down and feel around to find your fundus. First, you will lay back on the exam table. Then, your healthcare provider will extend a paper or plastic tape measure from the top of your symphysis pubis (pubic bone) to your uterus (fundus).
Where would the nurse expect the fundus to be located on the second postpartum day quizlet?The fundus is between the umbilicus and symphysis pubis 1 to 2 hours after birth. The fundus typically is 1 cm below the umbilicus on the first postpartum day and 2 cm below the umbilicus on the second postpartum day.
Where should the nurse locate the fundus at day 2 postpartum?If I'm two days postpartum, the fundus is probably two centimeters below the umbilicus. And then, at day six, the fundus is halfway between the umbilicus and the symphysis pubis.
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