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unique_elf unique_elf
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6 years ago
The nurse has received end of shift report on the postpartum unit. Which client should she see first?
 
  1. Multip, second day post-cesarean, moderate lochia serosa
  2. Primip, day of delivery, fundus firm 2 cm above umbilicus
  3. Multip, first postpartum day, 4 cm diastasis recti abdominis
  4. Primip, first postpartum day, hypoactive bowel sounds all quadrants
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wrote...
6 years ago
2
Rationale:
1. This client is not experiencing any unexpected findings.
2. This client is the top priority. The fundus should not be positioned above the fundus after delivery. This high location could indicate an overdistended bladder or uterine atony and excessive bleeding.
3. This finding is normal, especially in a multiparous client.
4. Bowel sounds are often decreased after delivery.
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