The nurse has received an end of shift report on the postpartum unit. Which patient should she see first?
1. Multip, second day post-cesarean, moderate lochia serosa
2. Primip, day of delivery, fundus firm 2 cm above umbilicus
3. Multip, first postpartum day, 4 cm diastasis recti abdominis
4. Primip, first postpartum day, hypoactive bowel sounds all quadrants
Correct Answer: 2
Rationale 1: This patient is not experiencing any unexpected findings.
Rationale 2: This patient is the top priority. The fundus should not be positioned above the umbilicus after delivery. This high location could indicate an overdistended bladder or uterine atony and excessive bleeding.
Rationale 3: This finding is normal, especially in a multiparous patient.
Rationale 4: Bowel sounds are often decreased after delivery.
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