Why is this not in ANY of my books?

delilas · Dec 17, 2009

In my LPN maternity nursing, I learned a deviation to the right OR left indicated a distended bladder...but I've never come across the NCLEX question to confirm the left deviation.

leslie :-D · Dec 17, 2009

i was likely googling wrong, but couldn't find anything re deviation to left.

could it be breech presentation?

maybe if you posted this in the ob/gyn forum??

leslie

TRR8021 · Dec 17, 2009

This is a postpartum fundus? There shouldn't be a breech presentation because she's already delivered the baby. I would think it's a distended bladder too. Since it's firm and not boggy, she shouldn't have a blood clot.

jnrsmommy · Dec 17, 2009

Don't know how true this is, when I was working post-partum, had a very experienced nurse tell me that to the left was blood clots. Only had this happen on one pt of mine, and she did indeed have several large blood clots after some vigorous fundal massages. The fundus did return midline afterwards.

Jay2daq · Dec 21, 2009

yes, this was a postpartum fundus i was referring to.

the answer ended up being bladder distention. Even in class, my instructor only stated what a deviation to the right meant....never said that could as well be a left?

...just incase anyone comes across that questio in an NCLEX practice..

bigbub3000 · Dec 21, 2009

Desirable post-partum status for us was FF, down 2. This, of course, was in the dark ages, LOL.

Is 2+ the same as down 2?

mickism11 · Aug 11, 2011

Just came across a deviated to the LEFT question on my ATI practice test. I ASSUMED that it couldn't be bladder because, I too only learned reference to deviated to the right. The answer given was: bladder distention. I am now assuming that a deviation in EITHER direction is bladder. Hope this helps others!

klone, MSN, RN · Aug 11, 2011

A distended bladder can cause deviation to either side.

klone, MSN, RN · Aug 11, 2011

Desirable post-partum status for us was FF, down 2. This, of course, was in the dark ages, LOL.
Is 2+ the same as down 2?

No, 2+ means 2 above the umbilicus. And where it is in relation to the umbilicus is going to be different for every woman. Some women might be 1 above immediately postpartum, and some women might be 2 below. Generally, most women are right about at the U right after delivery As long as it's continuing to go down, not up, over time, it's generally fine.