The nurse is caring for a postpartum patient who delivered by the vaginal route 12 hours ago. Which assessment finding should the nurse report to the health care provider?

Correct Answer: C

Rationale: The health care provider must be notified so that lacerations can be located and repaired. Bradycardia, defined as a pulse rate of 40 to 50 beats per minute (bpm), may occur as the large amount of blood that returns to the central circulation after birth of the placenta. A temperature of up to 38°C (100.4°F) is common during the first 24 hours after childbirth and may be caused by dehydration or normal postpartum leukocytosis. The resulting engorgement of abdominal blood vessels contributes to a rapid fall in BP of 15 to 20 mm Hg systolic when the woman moves from a recumbent to a sitting position. This change causes mothers to feel dizzy or lightheaded or to faint when they stand.

Correct Answer: C

Rationale: Excessive fatigue can impact the level of interaction between parent and child, leading to impaired parenting. En face behavior and feeling exhilarated post-birth are normal aspects of parental adaptation. Finger tipping behavior indicates a sense of identification or claiming behavior, which is not necessarily indicative of impaired parenting. Therefore, the correct answer is C.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: B

Rationale: The correct answer is B because an abnormal odor of the lochia indicates a uterine infection in a postpartum patient. This is an early and specific sign of infection compared to assessing other areas such as the episiotomy site, abdomen, or vital signs. Monitoring the odor of the lochia can help in early detection and appropriate management of uterine infections in postpartum patients.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.