The postpartum nurse is caring for a patient 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 patient.
Rationale 2: Hypoglycemia would not be a usual assessment for the mother, but possibly for the infants.
Rationale 3: The nurse will assess for postpartum hemorrhage. This patient is at risk for hemorrhage due to overdistention of the uterus with twins and possible slower uterine involution.
Rationale 4: Postpartum infection would be assessed through lochia odor and uterine pain, and would not be expected this soon after delivery.
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