A woman who gave birth 2 hours ago has a temperature of 37.9°C. Select all of the immediate nursing actions
a. Have patient drink two glasses of fluid over the next hour.
b. Explain to the patient that she needs to rest and assist her into a comfortable position.
c. Medicate the patient with 500 mg of acetaminophen as per orders.
d. Call the patient's physician or midwife to report the elevated temperature.
ANS: a, b
A mild temperature elevation within a few hours of birth can be related to dehydration and exhaustion. Acetaminophen is given if the temperature remains elevated after the woman has been hydrated and rested. The physician or midwife is notified if temperature remains elevated after initial interventions.
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