14.
17: Measuring Involution of Uterusaternal and ChilDEFINITION
Assess
dna the state of uterus in the post-delivery period as it returns to the pregravid state.PURPOSES1. To
rule out infection.
2. To estimate the rate at which involution takes place.
3, To assess the puerperal condition of women who had complicated labor.EQUIPMENT1. Screen.2.
Inch-tape.3. Clean gloves
PROCEDURENursing actionExplain the procedur to patient and instruct her on how she hasto
[Link] the unit and assemble necessary articles at bedside.
2.3. Ensure that patient's bladder is [Link] curtains/screen the bed5. Position the patient in supine
and drape the patient exposingonly the lower abdomen.6Don gloves.7. Locate fundus with the palm of
one hand.8Place lateral side of hands slightly above fundus.9Place your other hand above the symphysis
[Link] but firmly press into abdomen towards the spine and
then slightly downwards towards the perineum until a mass is
felt in the palm of the hand.10.1. Measure the number of finger breadth at which the fundus is felt
below the [Link] the help of an inch-tape measure from the level of fundus
to the upper border of symphysis pubis.
With gloved hand check perineal pad for color of lochia.
13. Offer perineal care if needed and provide a clean pad.12.13.14. Replace the articles and wash
[Link] the fundal height in nurses record.