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USMLE
Nursing Care for Uncomplicated Pregnancy Labor & Post-partum
A multigravida has a spontaneous vaginal birth. Five minutes later the placenta is expelled. Where does a nurse expect to locate the uterine fundus at this time?
Explanation
ExplanationC. When the placenta separates from the uterine wall, it tears blood vessels and results in a gush of blood from the vagina. A. The uterus should become firm when the placenta begins to separate. B. The fundus rises in the abdomen when the placenta separates. D. The reverse occurs; as the placenta separates it descends into the vaginal introitus, and the umbilical cord appears longer and protrudes from the vagina.
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