Which assessment finding is indicative of a major complication 1 hour following a forceps birth?
a. Uterine fundus displaced at U + 1
b. Complaints of vaginal and uterine pain
c. Peripads showing moderate lochia rubra
d. Increase in pulse rate from 90 to 110 bpm
ANS: D
Trauma to the vaginal area from a forceps birth may result in significant blood loss from hematomas or lacerations. Tachycardia is an early sign of compensation for excessive blood loss. A displaced uterine fundus is mostly likely indicative of a full bladder. Vaginal pain may be present even when the vaginal mucosa is intact. Moderate lochia rubra is a common finding early in the postpartum period.
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