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
cooperate.Arrange the unit and assemble necessary articles at bedside.

2.3. Ensure that patient's bladder is empty.4.Pull 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
pubis.Gently 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 umbilicus.11.With 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
hands.15.Mark the fundal height in nurses record.