As you receive a report, which assessment finding should you recognize as indicative of a vaginal laceration?
a. Fundus firm at the umbilicus
b. Pulse of 90 bpm, blood pressure of 110/78 mm Hg
c. Bright red continuous trickle of blood from vagina
d. Client requested pain medication twice during last shift
ANS: C
Lacerations of the birth canal should always be suspected if excessive bleeding continues when the fundus is firm. Bleeding from the genital tract often is bright red, in contrast to the darker red color of lochia; a firm fundus, pulse of 90 bpm, blood pressure of 110/78 mm Hg, and being medicated twice in one shift are common findings in the postpartum client.
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