The postpartum nurse is caring for a client who gave birth to full-term twins earlier today. The nurse will know to assess for symptoms of:
1. Increased blood pressure.
2. Hypoglycemia.
3. Postpartum hemorrhage.
4. Postpartum infection.
3
Rationale:
1. Increased blood pressure would cause vasoconstriction, and is not identified in this client.
2. Hypoglycemia would not be a usual assessment to make following delivery for the mother—possibly for the infants.
3. The nurse will assess for postpartum hemorrhage. This client is at risk for hemorrhage due to overdistention of the uterus with twins and possible slower uterine involution.
4. Postpartum infection would be assessed through odor of lochia and uterine pain, and would not be expected this soon after delivery.
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