Difficulty: Medium
Average Score: 73%
Simulated
Passage / Scenario
Client 4 hours postpartum following a vaginal delivery, with brisk patellar deep tendon reflexes, moderate lochia, fundus at umbilicus, approximated episiotomy edges.A nurse is assessing a client who is 4 hours postpartum following a vaginal delivery. Which of the following findings should the nurse identify as the priority?
Correct answer
A
Rationale
Brisk patellar deep tendon reflexes may indicate central nervous system irritability, potentially linked to preeclampsia, requiring priority assessment.