During an assessment, the nurse notes the postpartum client is experiencing intense shaking and chills. Based on this data which conclusion by the nurse is appropriate? Select all that apply
A) This is evidence of incomplete expulsion of the placenta.
B) The client has a full bladder.
C) This may be a reaction to maternal adrenal production during labor and birth.
D) This may be a reaction to epidural anesthesia.
E) The client has a fever from a postpartum infection.
Answer: C, D
Intense tremors similar to shaking chills can occur in the mother after birth and have been explained as being caused by a reaction to epidural anesthesia or a reaction to maternal adrenal production during labor and birth. The nurse would need to assess the client's temperature to determine the presence of a fever. Indications of a full bladder would most likely be a displaced uterus. Shaking chills after delivery is not evidence of incomplete expulsion of the placenta.
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