Which assessment finding 24 hours after vaginal birth would indicate a need for further intervention?
a. Pain level 5 on scale of 0 to 10
b. Saturated pad over a 2-hour period
c. Urinary output of 500 mL in one voiding
d. Uterine fundus 2 cm above the umbilicus
ANS: D
By the second postpartum day, the fundus descends by approximately 1 cm/day and should be 1 cm below the umbilicus; pain level of 5, saturated pad over a 2-hour time period, and urinary output of 500 mL in one voiding are normal findings in the postpartum client.
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