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1b 1b
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6 years ago
The nurse completes a postpartum assessment on a client who gave birth to her first child 12 hours ago. Assessment findings include: the client nauseated, but has not vomited in the last 2 hours; fundus was boggy but firmed with massage to 1 FB  the uterus; client is experiencing moderately heavy lochia rubra and the perineum ecchymotic and edematous. The client's pain rating is 6 on scale of 1 to 10. Her partner is present and supportive. Breastfeeding has been successful 3 times. Which nursing diagnosis has the highest priority for this client?
 
  1. Acute Pain related to perineal trauma
  2. Risk for Deficient Fluid Volume related to uterine bleeding and nausea
  3. Readiness for Enhanced Family Coping related to vaginal childbirth experience
  4. Knowledge Deficit related to newborn care
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matijsmatijs
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6 years ago
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