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Worksheets2205 Exam 3 pt.5
Total questions: 99
Worksheet time: 50mins
A postpartum client has unilateral calf tenderness, swelling, and warmth. Which diagnostic procedure should the nurse anticipate as a noninvasive test for suspected DVT?
Pulmonary angiogram
Embolectomy
Doppler ultrasound scanning
CBC with differential
A postpartum client with suspected thrombophlebitis asks why the nurse is discouraging leg crossing. Which rationale should the nurse provide?
Crossing your legs reduces circulation and worsens venous stasis.
Crossing your legs increases milk production and discomfort.
Crossing your legs causes uterine inversion.
Crossing your legs increases lochia rubra.
A nurse is teaching a postpartum client at risk for thrombophlebitis about hydration. Which instruction should the nurse include?
Limit fluids to 1 L/day to prevent edema.
Avoid fluids after 6 PM.
Maintain 2 to 3 L of fluid intake each day from food and beverages.
Drink only water to prevent clotting.
A postpartum client with thrombophlebitis has an order set being reviewed by the nurse. Which intervention should the nurse question?
Warm moist compresses intermittently
Massage the affected limb to reduce inflammation
Measure leg circumferences
Elevate the extremity above the level of the heart
A nurse is planning prevention teaching for a postpartum client after cesarean birth. Which statement best reflects the chapter’s risk-factor emphasis?
A cesarean birth decreases your DVT risk.
Only clients over age 35 are at risk.
Cesarean birth doubles the risk for DVT.
Only smokers develop DVT postpartum.
A postpartum client is on prolonged bed rest. Which action by the nurse best aligns with prevention of thrombophlebitis when bed rest lasts longer than 8 hours?
Keep the client supine and still
Use active and passive range of motion to promote circulation if warranted
Apply cold compresses to both legs
Encourage leg crossing to reduce swelling
A postpartum client with suspected DVT asks why the nurse refuses to place a pillow under the knees while elevating the leg. Which response is best?
It can cause uterine inversion.
It can worsen venous return; avoid a knee gatch or pillow under knees.
It increases the risk of infection.
It increases urine output too quickly.
A postpartum client has DVT and is prescribed heparin. Which lab parameter should the nurse monitor to adjust dosing per the chapter?
Hemoglobin only
INR only
aPTT and coagulation studies (including prothrombin/partial thromboplastin)
D-dimer only
A nurse is verifying safety preparedness before starting a continuous IV heparin infusion for acute PE. Which medication must be readily available per the chapter?
Phytonadione
Protamine sulfate
Oxytocin
Terbutaline
A postpartum client receiving warfarin asks what is most important to report. Which instruction by the nurse is correct?
Report a mild headache only.
Report bleeding gums or nose, increased vaginal bleeding, blood in urine, and frequent bruising.
Report appetite changes only.
Report uterine cramping only.
A postpartum client taking warfarin asks about pregnancy planning. Which teaching is priority based on the chapter?
Warfarin is safe during pregnancy.
Use birth control to avoid pregnancy due to teratogenic effects.
Contraception is unnecessary if breastfeeding.
Stop warfarin anytime you miss a period.
A postpartum client on warfarin asks if they can start oral contraceptives. Which response is best?
Yes, oral contraceptives reduce bleeding risk.
Yes, oral contraceptives are preferred postpartum.
No, oral contraceptives are contraindicated due to increased thrombosis risk.
No, oral contraceptives cause uterine atony.
A nurse is reinforcing precautions for a postpartum client receiving anticoagulants. Which client statement requires correction?
I’ll use an electric razor.
I’ll brush gently with a soft toothbrush.
I’ll avoid aspirin or ibuprofen.
I’ll rub my legs to improve circulation.
A postpartum client with suspected pulmonary embolus is anxious, tachypneic, and hypoxic. What is the nurse’s priority positioning intervention?
Place the client flat and supine
Place the client in a semi-Fowler’s position with head of bed elevated
Place the client in Trendelenburg
Place the client in knee-chest position
A nurse suspects acute pulmonary embolus in a postpartum client. Which finding is most consistent with the chapter’s expected findings list?
Bradycardia and hyperglycemia
Hemoptysis and pleuritic chest pain
Constipation and fever alone
Hypotension with boggy uterus only
A postpartum client with suspected PE asks why this is considered an emergency. Which explanation best matches the chapter’s definition?
It means the uterus turned inside out.
It occurs when a clot dislodges and lodges in the pulmonary artery, obstructing blood flow to the lungs.
It’s caused by low estrogen.
It’s a normal postpartum adaptation.
A nurse is preparing a postpartum client for diagnostic testing for suspected PE. Which diagnostic/therapeutic procedure listed in the chapter could be ordered?
Dilation and curettage
Ventilation/perfusion lung scan
Fundal massage
Intrauterine balloon tamponade
A postpartum client has suspected PE. Which nursing action is appropriate immediately while awaiting definitive management?
Apply massage to both calves
Administer oxygen by mask
Encourage ambulation to clear the lungs
Restrict fluids to prevent crackles
A postpartum client is prescribed thrombolytic therapy for PE. Which medications listed in the chapter are thrombolytics?
Alteplase and streptokinase
Oxytocin and misoprostol
A postpartum client has heavy vaginal bleeding that does not stop despite measures to stimulate uterine contractions. Which condition should the nurse suspect per the chapter?
Normal lochia progression
Coagulopathy such as DIC
Breast engorgement
Postpartum leukocytosis
A nurse is caring for a client with DIC. Which antepartum complication listed is a risk factor for DIC?
Preeclampsia/eclampsia (gestational hypertension), HELLP syndrome
Placenta previa only
Hyperemesis gravidarum
Varicella nonimmunity
A postpartum client is suspected to have DIC. Which physical finding best aligns with the chapter’s expected findings?
Petechiae and ecchymoses
Clear lochia alba day 1
Uterus firm and midline with scant bleeding
Decreased appetite only
A nurse reviews labs for a client with suspected DIC. Which pattern matches the chapter’s clotting factor changes?
Platelets increased; fibrinogen increased; PT shortened; D-dimer decreased
Platelets decreased; fibrinogen decreased; PT prolonged; fibrin split products increased; D-dimer increased
Platelets normal; fibrinogen normal; PT normal; D-dimer decreased
Platelets increased; fibrinogen decreased; PT shortened; D-dimer normal
A nurse is implementing care for a postpartum client with DIC. Which intervention aligns with the chapter?
Encourage vigorous ambulation
Insert an indwelling urinary catheter to monitor output
Massage injection sites to stop oozing
Restrict oxygen to avoid drying mucosa
A nurse is caring for a postpartum client with DIC. Which is the priority focus stated in the chapter for DIC management?
Strict fluid restriction
Correcting the underlying cause (e.g., removal of dead fetus/abruption, treating infection, preeclampsia/eclampsia)
Encouraging leg massage to prevent clots
Delaying all blood products
A postpartum client has a cumulative blood loss of 1,100 mL with tachycardia within 12 hours of a vaginal birth. How does the chapter define this situation?
Normal postpartum bleeding
Postpartum hemorrhage per ACOG definition ( ≥1,000 mL or blood loss with hypovolemia within 24 hr)
Lochia rubra expected finding
Subinvolution only
A nurse is told to follow AWHONN guidance for postpartum hemorrhage monitoring. What does the chapter emphasize should be measured with every birth?
Fundal height only
Quantification of blood loss (QBL)
Maternal mood assessment
Newborn feeding logs
A postpartum client’s pad is saturated in 15 minutes with bright red blood. Which interpretation best fits the chapter’s expected findings for postpartum hemorrhage?
Normal lochia rubra
Excessive blood loss consistent with hemorrhage pattern
Lochia serosa transition
Expected after breastfeeding only
A nurse is assessing for early hypovolemia from hemorrhage. Which finding is identified in the chapter as an early indicator?
Increasing pulse and decreasing blood pressure
Elevated WBC 22,000
Fundus 1 cm below umbilicus
Mild uterine cramping
A postpartum client has suspected hemorrhage. Which IV fluid choice is consistent with the chapter’s isotonic replacement guidance?
0.45% sodium chloride
Lactated Ringer’s or 0.9% sodium chloride
D5W as primary replacement
Sterile water infusion
A nurse prepares oxygen for a postpartum client with hemorrhage and hypoxia risk. What delivery and rate does the chapter specify?
2 L/min via nasal cannula
10–12 L/min via nonrebreather facemask
6 L/min via simple mask
Room air and reassess
A postpartum client with hemorrhage is being positioned to improve perfusion. Which action matches the chapter?
Elevate legs to a 20° to 30° angle
Place in knee-chest position
Place flat with legs dependent
Encourage standing to improve circulation
A nurse is administering oxytocin for postpartum hemorrhage. Which adverse reaction must the nurse monitor for per the chapter?
Water intoxication that can progress to cerebral edema with seizures/coma
Severe hypoglycemia
Pulmonary fibrosis
Hyperthyroidism
A postpartum client has postpartum hemorrhage and chronic hypertension. Which medication should the nurse anticipate not giving based on the chapter’s explicit warning?
Methylergonovine
Misoprostol
Oxytocin
Tranexamic acid
A nurse is monitoring for adverse reactions after giving carboprost tromethamine. Which reaction is listed in the chapter?
Fever and diarrhea
Vision loss
Severe hypoglycemia
Gingival hyperplasia
A postpartum client has hemorrhage and is prescribed tranexamic acid. Which timing recommendation is explicitly stated in the chapter?
Administer only after 24 hours postpartum
Administer within 3 hours of birth when postpartum hemorrhage occurs
Administer only after D&C fails
Administer only if BP is elevated
A nurse finds a boggy uterus that is larger than expected and displaced laterally. Which cause is most consistent with the chapter’s uterine atony findings?
Distended bladder contributing to lateral displacement and atony findings
Normal postpartum involution
Hypercoagulability resolving hemorrhage
Lactation suppression
A nurse attempts to express uterine clots in a client with heavy bleeding but the uterus remains boggy. What is the best nursing response per the chapter?
Express clots now to empty the uterus
Avoid expressing clots until the uterus is firmly contracted to prevent inversion
Express clots while applying vigorous fundal pressure
Stop all uterotonics before expressing clots
A postpartum hemorrhage persists despite fundal massage and medications. Which next intervention is described in the chapter as a uterine hemorrhage treatment before hysterectomy is likely?
Uterine tamponage (intrauterine balloon)
Varicella vaccination
Splenectomy
Enema administration
A postpartum client has continued lochial discharge with an enlarged uterus higher than expected. Which condition matches the chapter?
Subinvolution of the uterus
Normal involution
Pulmonary embolus
ITP
For suspected subinvolution, which lab/diagnostic sampling does the chapter list to evaluate infection/endometritis?
Blood, intracervical, and intrauterine bacterial cultures
D-dimer only
INR only
Urine ketones
A postpartum client has subinvolution from retained fragments. Which therapeutic procedure is listed as performed by the provider to remove retained fragments or debride the insertion site?
Dilation and curettage (D&C)
Embolectomy
Pulmonary angiogram
Splenectomy
A postpartum client is being educated on activities that enhance uterine involution during subinvolution management. Which set matches the chapter?
Breastfeeding, early and frequent ambulation, frequent voiding
Bed rest, leg crossing, fluid restriction
Avoid ambulation, avoid voiding, avoid breastfeeding
Warm compresses only
A postpartum client has sudden hemorrhage with a mass presenting in the vagina and severe lower abdominal pain. Which disorder does this most strongly suggest?
Inversion of the uterus
Superficial thrombophlebitis
ITP
Normal lochia rubra
A nurse recognizes uterine inversion has occurred while oxytocin is infusing. Which action is required per the chapter?
Stop oxytocin if it is being administered at the time inversion occurred
Continue oxytocin at the same rate to push the uterus back
Perform aggressive fundal massage
Encourage the client to ambulate immediately
Which medication is listed as the tocolytic used to relax the uterus prior to manual replacement for uterine inversion?
Terbutaline
Misoprostol
Methylergonovine
Warfarin
After uterine replacement for inversion, which nursing action is explicitly included in the chapter’s post-replacement care?
Avoid aggressive fundal massage
Encourage vigorous fundal massage every 15 minutes
Discontinue all oxytocics permanently
Apply cold compresses directly to the uterus
A placenta has not delivered within 30 minutes after birth. How does the chapter define this finding?
Retained placenta
Subinvolution
Normal third stage delay
Uterine atony only
A postpartum client has severe persistent perineal pain, difficulty voiding, and minimal visible bleeding. Which complication is most consistent with the chapter’s distinguishing finding?
Hematoma
Uterine atony
Retained placenta
DIC
A postpartum client is on day 3 and reports chills and pelvic pain. Which additional finding most strongly supports endometritis based on the chapter?
Lochia rubra with fleshy odor that decreases gradually
Lochia that is malodorous and dark with profuse flow
Breast tenderness with bilateral warmth
Cloudy urine with visible sediment
A nurse reviews a postpartum client’s temperature trend: 38.1° C (100.6° F) on postpartum day 2 and again on day 3. Which action is most appropriate per the chapter?
Reassure the client this is a normal postpartum change
Document and reassess at the routine 6-week visit
Initiate further investigation for postpartum infection
Encourage oral fluids and repeat temperature in 24 hr only
A postpartum client has a cesarean incision with warmth, erythema, edema, and seropurulent drainage. Which complication listed in the chapter is the major concern if the infection spreads?
Septicemia
Uterine inversion
Subinvolution
Puerperal bradycardia
A postpartum client who is breastfeeding reports a painful, localized hard mass and reddened area on the left breast with fever and body aches. Which instruction is the nurse’s priority?
Stop breastfeeding on the affected side until symptoms resolve
Breastfeed or pump frequently, emptying the affected side
Restrict oral fluids to decrease swelling
Apply an underwire bra for firm support
A nurse is teaching a newly licensed nurse why postpartum clients are at increased infection risk immediately after birth. Which explanation best matches the chapter?
“The immune system is permanently weakened after delivery.”
“Micro-organisms can enter the reproductive tract and migrate into the blood.”
“Lochia is sterile and prevents bacterial growth.”
“The cervix is fully closed immediately after birth.”
A postpartum client on day 8 develops unilateral mastitis. Which organism should the nurse expect is most likely responsible per the chapter?
Escherichia coli
Staphylococcus aureus
A postpartum client has fever greater than 38° C (100.4° F) after the first 24 hr. Which possible infection sites should the nurse prioritize assessing based on the chapter?
Heart, liver, pancreas, spleen
Bladder, uterus, wound, breast
Brain, spinal cord, meninges, eyes
Joints, bones, cartilage, tendons
A client who is 4 days postpartum reports fatigue and loss of appetite. The nurse also notes uterine tenderness. Which additional finding is most consistent with endometritis?
Axillary adenopathy on one side
Lochia that is purulent or malodorous
Clear urine with no discomfort
Incision that is dry and well-approximated
A postpartum client has fever for 2 consecutive days during the first 10 days postpartum. How should the nurse interpret this per the chapter?
Expected postpartum adaptation
Normal effect of breastfeeding
Indicative of postpartum infection requiring investigation
Benign effect of epidural anesthesia only
A nurse suspects a puerperal infection. Which lab finding is most consistent with the chapter’s expected laboratory results?
Leukopenia
Leukocytosis
Decreased RBC sedimentation rate
Increased RBC count
A postpartum client has a wound infection and the provider prescribes IV antibiotic therapy. Which medication class is listed in the chapter as part of broad-spectrum treatment?
Antifungals
Penicillins
Antivirals
Antiparasitics
A postpartum client’s episiotomy shows wound dehiscence. Which finding best describes dehiscence according to the chapter?
Protrusion of internal contents through separated edges
Separation of wound or incision edges
Collection of pus under the skin only
Hardening of scar tissue without drainage
A postpartum client has wound evisceration. Which statement best defines evisceration per the chapter?
Separation of wound edges without tissue exposure
Protrusion of internal contents through separated wound edges
Redness and warmth without drainage
Localized bruising around the incision
A postpartum client reports cracked nipples and uses bottle supplementation, decreasing breastfeeding frequency. Which complication is the nurse most concerned about developing?
Mastitis due to milk stasis
Endometritis due to placental attachment infection
UTI due to bladder trauma
Wound infection due to episiotomy laceration
A breastfeeding client reports breast pain and fever. Which assessment finding best differentiates mastitis from endometritis using the chapter?
Uterine tenderness
Axillary adenopathy on the affected side
Dark, profuse lochia
Pelvic pain
A nurse is caring for a postpartum client with suspected endometritis. Which nursing action is appropriate per the chapter?
Administer IV antibiotics
Encourage warm water douching
Apply an underwire bra for support
Restrict fluids to reduce lochia
A postpartum client with suspected puerperal infection has an order to obtain cultures. Which cultures are listed in the chapter to reveal the offending organism?
Throat and stool cultures
Blood, intracervical, or intrauterine bacterial cultures
Skin swab cultures only
Sputum cultures only
A postpartum client with mastitis states, “I’m going to stop breastfeeding until my antibiotics are done.” Which response is best based on the chapter?
“That’s correct; breastfeeding spreads infection to the newborn.”
“Stop breastfeeding and avoid pumping to prevent milk production.”
“Continue breastfeeding frequently, especially on the affected side.”
“Breastfeed only once per day to rest the breast.”
A postpartum client with mastitis asks why the nurse discourages underwire bras. Which explanation best matches the chapter?
Underwire increases risk for infection
Underwire decreases oxytocin release
Underwire causes uterine displacement
Underwire prevents colostrum production
A client has mastitis and reports severe pain with breastfeeding. Which instruction is appropriate per the chapter?
Avoid emptying the affected breast to decrease pain
Manually express breast milk or use a breast pump if breastfeeding is too painful
Apply breast pads and keep nipples moist at all times
Reduce fluid intake to decrease milk supply
A postpartum client is diagnosed with a puerperal infection. Which nursing intervention is essential to reduce transmission during care according to the chapter?
Use aseptic technique and proper hand hygiene; don gloves for care
Limit perineal pad changes to reduce exposure
Encourage the client to share towels with family to promote bonding
Avoid IV access unless septicemia is confirmed
A postpartum client with endometritis is worried she should avoid her newborn. Which teaching is correct per the chapter?
“Avoid interacting with your newborn until your fever is gone.”
“Maintain interaction with the newborn to facilitate bonding.”
“Rooming-in is contraindicated in endometritis.”
“Delay bonding until after your antibiotics are completed.”
A postpartum client has fever and tachycardia with dark, profuse, malodorous lochia. Which condition is most consistent with the chapter?
Mastitis
Urinary tract infection
Endometritis
Normal postpartum change
A postpartum client has a temperature greater than 38° C for 2 consecutive days and her cesarean incision is warm and painful with edema. Which finding further supports wound infection?
Lochia alba
Seropurulent drainage
Urine output 3,000 mL/day
Bilateral breast engorgement
A postpartum client has fever, chills, malaise, and nausea. Which category of findings does the chapter associate with these symptoms?
Puerperal infections (general)
UTI only
Mastitis only
Endometritis only
A nurse is teaching mastitis prevention. Which instruction best targets milk stasis?
“Decrease feeding frequency to rest the breasts.”
“Completely empty the breasts with each feeding.”
“Wear an underwire bra for better drainage.”
“Avoid breastfeeding on one side to balance supply.”
A postpartum client with mastitis asks how often she should breastfeed. Which response matches the chapter?
Every 6 to 8 hr
Every 8 to 12 hr
At least every 2 to 4 hr
Only when the breast becomes painful
A postpartum client has suspected infection and is malnourished with anemia. How does this history affect risk according to the chapter?
It lowers infection risk because the body conserves energy
It increases risk for postpartum infection
It only increases risk for mastitis, not uterine infection
It increases risk only if the client is over age 35
A postpartum client had prolonged labor and multiple vaginal examinations after rupture of membranes. Which infection is she at increased risk for per the chapter’s risk factors?
Endometritis
Mastitis
UTI only
No infection risk is listed for these factors
A postpartum client reports dysuria, urgency, and suprapubic discomfort. Which additional urine characteristic supports UTI per the chapter?
Clear and odorless urine
Cloudy, blood-tinged, malodorous urine with sediment
Bright red lochia mixed into urine
Urine that is pale yellow with no sediment
A postpartum client has suspected UTI. Which diagnostic procedure is listed in the chapter?
Urinalysis for WBCs, RBCs, protein, bacteria
Spiral CT scan
Blood culture only
MRI of the pelvis
A nurse is caring for a postpartum client with UTI and teaches fluids. Which instruction matches the chapter?
Increase fluid intake to 3,000 mL/day
Restrict fluids to prevent frequency
Drink only small sips to avoid urgency
Avoid fluids until antibiotics are complete
A postpartum client has UTI and asks what medication can help reduce discomfort and pain. Which medication is listed in the chapter?
Ibuprofen
Acetaminophen
Aspirin
Naproxen
A postpartum client says, “I’ll stop antibiotics when I feel better.” Which response is best based on the chapter?
“That’s fine if your fever is gone.”
“Complete the full course of antibiotics as prescribed.”
“Take half doses to reduce side effects.”
“Stop antibiotics if breastfeeding.”
A postpartum client with UTI asks why she needs treatment urgently. Which potential complication is listed in the chapter?
Pyelonephritis leading to permanent kidney damage and kidney failure
Uterine inversion
Placental abruption
Pulmonary embolism
A postpartum client has costovertebral angle pain in addition to UTI symptoms. Which interpretation best matches the chapter?
This indicates mastitis
This suggests pyelonephritis involvement
This is expected postpartum back pain only
This indicates endometritis spread
A postpartum client has urinary retention related to hypotonic bladder. According to the chapter, why is this a risk factor for UTI?
It causes milk stasis
It causes urinary stasis and retention, increasing infection risk
It increases lochia flow
It decreases perineal pain
A nurse is prioritizing infection prevention education for a postpartum client. Which teaching best reflects the chapter’s prevention emphasis?
“Use tampons to keep the perineum dry.”
“Practice thorough handwashing and good perineal hygiene.”
“Avoid changing pads frequently to reduce irritation.”
“Use scented wipes to reduce malodor.”
A postpartum client with wound infection asks why sitz baths might be suggested. Which rationale best matches the chapter?
To increase milk supply
To provide comfort measures along with perineal care
To replace antibiotic therapy
To prevent uterine displacement
A postpartum client has fever greater than 38° C and tachycardia. The nurse suspects puerperal infection. Which nursing action is appropriate per the chapter before antibiotic administration?
Maintain or initiate IV access
Encourage the client to avoid all fluids
Delay vital signs until pain is controlled
Restrict perineal pad changes
A postpartum client reports pelvic pain and dark lochia. Which additional symptom listed with endometritis would the nurse expect?
Axillary adenopathy
Loss of appetite
Dysuria and urgency only
Breast hard mass
A breastfeeding client has cracked nipples and poor latch technique. Which nursing teaching directly addresses the chapter’s latch guidance?
“The newborn should latch only onto the nipple tip.”
“Positioning and latch should include both the nipple and the areola.”
“Limit feeding time to reduce nipple exposure.”
“Use an underwire bra to correct latch.”
A postpartum client with mastitis asks how to remove the newborn from the breast safely. Which instruction matches the chapter?
Pull the newborn away quickly
Release the newborn’s grasp on the nipple prior to removing the newborn from the breast
Wait for the newborn to fall asleep
Remove only after applying warm compresses
A nurse is caring for a postpartum client with infection risk factors. Which factor listed in the chapter specifically increases endometritis risk through uterine exposure?
Internal fetal/uterine pressure monitoring
Wearing an underwire bra
Avoiding breastfeeding
Increased fluid intake
A postpartum client asks why the nurse is emphasizing protein intake during infection recovery. Which response matches the chapter?
“Protein decreases lochia.”
“A diet high in protein promotes tissue healing.”
“Protein prevents fever.”
“Protein replaces antibiotic therapy.”
A postpartum client taking antibiotics for endometritis reports watery, bloody diarrhea. Which action is appropriate per the chapter’s medication education?
Tell the client this is expected and continue medication without reporting
Notify the provider of watery, bloody diarrhea
Stop interacting with the newborn
Increase underwire bra use for support
A postpartum client is breastfeeding and has been prescribed antibiotics for infection. Which instruction is listed in the chapter?
“Breastfeeding is always contraindicated with antibiotics.”
“Notify the provider if breastfeeding.”
“Stop antibiotics if breastfeeding.”
“Only take antibiotics at night.”
A postpartum client has mastitis and asks how much fluid intake is recommended. Which response matches the chapter?
1,000 mL/day
1,500 mL/day
At least 3,000 mL/day
Only drink when thirsty
A postpartum client has suspected endometritis with fever and uterine tenderness. Which nursing assessment is essential per the chapter’s general infection care?
Assess fundal height, position, and consistency
Assess pupillary response
Assess bowel sounds only
Assess fetal heart rate
A nurse is triaging postpartum clients for infection risk. Which client situation is most consistent with the chapter’s highest-risk pattern?
Precipitous labor less than 3 hr
Premature rupture of membranes with prolonged labor
Delivered a large for gestational age infant
Boggy uterus that was not well-contracted
