A patient delivered 30 minutes ago. Which postpartal assessment finding would require close nursing attention?
1. A soaked perineal pad since the last 15-minute check
2. An edematous perineum
3. The patient experiencing tremors
4. A fundus located at the umbilicus
1
Rationale 1: A soaked perineal pad contains approximately 100 ml of blood. If the perineal pad becomes soaked in a 15-minute period, continuous observation is necessary.
Rationale 2: An edematous perineum is a normal postpartal finding.
Rationale 3: Tremors are a normal postpartal finding.
Rationale 4: A fundus located at the umbilicus is a normal postpartal finding.
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