To assess the healing of the uterus at the placental site, the nurse assesses:
1. Lab values.
2. Blood pressure.
3. Uterine size.
4. Type, amount, and consistency of lochia.
4
Rationale 1: This response is incomplete because it does not indicate which lab values are referred to.
Rationale 2: Blood pressure varies slightly in normal postpartal women, and would not affect the placental site.
Rationale 3: Uterine size alone is not enough to assess the placental site.
Rationale 4: The type, amount, and consistency of the lochia determine the stage of healing of the placental site, which occurs by a process of exfoliation.
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