During a postpartum examination of a patient who delivered an 8-pound newborn 6 hours ago, the following assessment findings are noted: fundus firm and at the umbilicus, and moderate lochia rubra with a steady trickle of blood from the vagina
The assessment finding that would necessitate follow-up would be the: 1. Firm fundus.
2. Fundus at the umbilical level.
3. Moderate lochia rubra.
4. Steady trickle of blood.
4
Rationale 1: A firm fundus is desirable, and considered normal.
Rationale 2: Six hours after birth, the fundus at the umbilicus would not be a concern.
Rationale 3: Lochia rubra would be considered normal.
Rationale 4: The steady trickle of blood could indicate a laceration in the birth canal, and should be reported to the M.D. for follow-up.
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