A client delivered 30 minutes ago. Which postpartal assessment finding would require close nursing attention?
1. A soaked perineal pad since the last 15-minute check
2. An edematous perineum
3. A client with tremors
4. A fundus located at the umbilicus
1
Rationale:
1. A soaked perineal pad contains approximately 100 ml of blood. If the perineal pad becomes soaked in a 15-minute period, continuous observation is necessary.
2. An edematous perineum is a normal postpartal finding.
3. A client with tremors is a normal postpartal finding.
4. A fundus located at the umbilicus is a normal postpartal finding.
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