The nurse is caring for a woman who had sextuplets six hours ago. When the nurse examines the client's lochia, she finds a slow, steady trickle of bright red blood with large clots. The nurse suspects possible:

1. Uterine atony.
2. Uterine prolapse.
3. Third-degree laceration of the perineum.
4. Vulvar hematoma.


1
Rationale: The woman with multiple births is at increased risk for uterine atony manifesting as a slow trickle of bright red bleeding and failure of the uterus to contract.

Nursing

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